Massachusetts H1141 mandates coverage for dual diagnosis treatment services without preauthorization.
Massachusetts H1141 amends state laws to ensure coverage for dual diagnosis treatment services. These services include medically necessary acute treatment, clinical stabilization, and co-occurring treatment for substance use and mental health disorders. The bill requires health maintenance contracts and insurance policies to cover these services without requiring preauthorization. Medical necessity is determined by the treating clinician in consultation with the patient. The facility must notify the carrier of admission and the initial treatment plan within 48 hours.
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