MA H1198

Prior authorizations for non-emergency ambulance and wheelchair van transportation to dialysis, behavioral health services, and post-acute care must be valid for a minimum of 3 business days across all insurance types

MassHealth and its contracted insurers must pay eligible providers at least 2.5 times the determined rates for specified non-emergency ambulance and wheelchair van transport services to dialysis, behavioral health, and post-acute care

Requirements apply to state employee insurance (Chapter 32A), MassHealth (Chapter 118E), commercial insurers, hospital service plans, medical service agreements, and HMOs

Health Policy Commission, with the Center for Information and Analysis, must study the adequacy of MassHealth and commercial carrier reimbursement rates for non-emergency medical transportation, including impacts of minimum wage increases and workforce competition

Similar legislation was filed in the previous session as House Bill 1050 (2023-2024)