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MA H2220
Bill
Status
2/27/2025
Primary Sponsor
Kathleen LaNatra
Click for details
AI Summary
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Requires all health insurers, MassHealth, and the Group Insurance Commission to set minimum payment rates for psychiatric collaborative care model billing codes at or above Medicare Resource-Based Relative Value Scale physician fee schedule rates, adjusted annually
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Defines psychiatric collaborative care model as an integrated behavioral health approach where primary care providers and care managers work with psychiatric consultants to deliver structured mental health treatment
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Specifies covered billing codes for reimbursement: CPT codes 99492, 99493, 99494, and G2214
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Removes psychiatric collaborative care billing codes from MassHealth accountable care organization sub-capitation rates, requiring these services to be paid on a fee-for-service basis instead
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Applies to commercial insurers (Chapter 175), Blue Cross Blue Shield plans (Chapters 176A and 176B), HMOs (Chapter 176G), and state employee health plans (Chapter 32A)
Legislative Description
Relative to access to psychiatric collaborative care
Last Action
Accompanied a new draft, see H5230
3/12/2026