MA H5230

Requires all health insurers in Massachusetts to pay minimum rates for psychiatric collaborative care model billing codes equal to or greater than the Medicare Resource-Based Relative Value Scale physician fee schedule, with annual adjustments

Applies to state employee health plans (Chapter 32A), MassHealth/Medicaid (Chapter 118E), commercial insurers (Chapter 175), Blue Cross Blue Shield plans (Chapters 176A and 176B), and HMOs (Chapter 176G)

Specifies covered billing codes as CPT codes 99492, 99493, 99494, and G2214, with authority for the Division of Insurance to add additional codes

MassHealth implementation is contingent on federal approval of the state Medicaid plan and availability of federal funding

Takes effect for all contracts entered into, renewed, or amended on or after January 1, 2027