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MA H1406
Bill
Status
2/27/2025
Primary Sponsor
Lindsay Sabadosa
Click for details
AI Summary
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Prior authorizations for community long-term care services addressing chronic conditions would be valid for up to 5 years, covering the duration of prescribed services
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Chronic conditions are defined as health conditions expected to last longer than one year, including intellectual or developmental disabilities
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Covered community long-term care services include Adult Day Health, Adult Foster Care, Group Adult Foster Care, Day Habilitation, Home Health Aide, Personal Care Attendant Services, and Frail Elder Waiver services
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Service authorizations conducted by Aging Services Access Points (ASAPs) for services they do not directly provide would automatically constitute MassHealth prior authorizations
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Service plans may still be modified at the request of the member or primary care provider when a member's condition or service needs change
Legislative Description
To improve continuity of care for MassHealth members with chronic conditions
Last Action
Reporting date extended to Wednesday, March 18, 2026
9/15/2025