Massachusetts S742 ensures dually eligible individuals have continued access to specialist and hospital care after contract terminations.

Massachusetts S742 mandates that dually eligible individuals maintain access to specialist and hospital care for twelve months after a contract termination between their health plan and provider. Providers must be reimbursed by the One Care or SCO plan at Medicare or MassHealth rates unless a different agreement is made. The bill also ensures continuity of care by requiring plans to maintain pre-existing contract terms during this period.

Massachusetts S742 ensures dually eligible individuals have continued access to specialist and hospital care after contract terminations.

Massachusetts S742 mandates that dually eligible individuals maintain access to specialist and hospital care for twelve months after a contract termination between their health plan and provider. Providers must be reimbursed by the One Care or SCO plan at Medicare or MassHealth rates unless a different agreement is made. The bill also ensures continuity of care by requiring plans to maintain pre-existing contract terms during this period.