An Act to further define medical necessity determinations

Summary

The bill defines several types of mental health treatment—acute, crisis stabilization, community‑based acute, and intensive community‑based acute—and requires that the state’s group insurance commission and Medicaid managed‑care plans cover these services without prior authorization. It applies to active or retired Commonwealth employees covered by the commission’s group plan and to Medicaid enrollees, and it sets notification and review timelines for providers. The aim is to make it easier for patients to get needed mental health care.

AI-generated summary — may be incomplete or inaccurate. Verify against the official bill text.

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