MA H5038

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 non-emergency medical transportation providers at least 2.5 times the current determined rates for specified ambulance and wheelchair van service codes

Requirements apply to insurance policies under Chapters 32A (state employee insurance), 118E (Medicaid), 175 (general insurance), 176A (hospital service corporations), 176B (medical service corporations), and 176G (HMOs)

Health Policy Commission and Center for Health Information and Analysis must study the adequacy of MassHealth and commercial carrier reimbursement rates for non-emergency medical transportation

Study must examine external economic factors affecting EMS workforce development and retention, including minimum wage increases and competition from for-profit industries