Massachusetts S835 amends health plan coverage to include mental health crisis stabilization services without preauthorization.

Massachusetts S835 amends the General Laws to ensure health plans cover medically necessary mental health crisis stabilization services for up to 14 days without requiring preauthorization. Facilities must notify carriers and provide an initial treatment plan within 48 hours of admission. Utilization review procedures can begin on day 7. Medical necessity is determined by the treating clinician in consultation with the patient and documented in the patient's medical record. This applies to various health plans and contracts issued or renewed within the commonwealth.

Massachusetts S835 amends health plan coverage to include mental health crisis stabilization services without preauthorization.

Massachusetts S835 amends the General Laws to ensure health plans cover medically necessary mental health crisis stabilization services for up to 14 days without requiring preauthorization. Facilities must notify carriers and provide an initial treatment plan within 48 hours of admission. Utilization review procedures can begin on day 7. Medical necessity is determined by the treating clinician in consultation with the patient and documented in the patient's medical record. This applies to various health plans and contracts issued or renewed within the commonwealth.