MA S1390

Establishes minimum payment rates for psychiatric collaborative care model services at or above Medicare Resource-Based Relative Value Scale physician fee schedule rates, with annual adjustments

Applies to MassHealth, the Group Insurance Commission, and all commercial insurers including accident/sickness policies, hospital service plans, medical service agreements, and HMOs

Specifies reimbursable CPT billing codes for the collaborative care model: 99492, 99493, 99494, and G2214

Defines the psychiatric collaborative care model as a team-based approach where primary care providers and care managers collaborate with psychiatric consultants to deliver integrated behavioral health services

Requires MassHealth to remove collaborative care billing codes from accountable care organization capitation rates and instead pay these services on a fee-for-service basis