MA H4894

Requires all health insurers in Massachusetts to cover mental health acute treatment without preauthorization, with medical necessity determined by the treating clinician in consultation with the patient

Mandates coverage for mental health crisis stabilization services for up to 14 days without preauthorization; facilities must notify carriers and submit treatment plans within 48 hours, and utilization review may begin on day 7

Requires coverage for community-based acute treatment (CBAT) for children and adolescents for up to 21 days without preauthorization, with utilization review permitted starting on day 10

Mandates coverage for intensive community-based acute treatment (ICBAT) for children and adolescents for up to 14 days without preauthorization, with utilization review permitted starting on day 7

Applies uniformly across Group Insurance Commission plans, MassHealth/Medicaid, commercial insurers, HMOs, and hospital/medical service corporations through amendments to six chapters of Massachusetts General Laws