The bill titled "An Act relative to applied behavioral analysis reimbursement rates" proposes an amendment to Chapter 118E of the General Laws of Massachusetts. It introduces a new section, Section 10H 1/2, which mandates the office of Medicaid, in collaboration with the center for health information and analysis, to conduct a bi-annual review of reimbursement rates for providers of applied behavior analysis services. This review will assess various factors, including comparisons of payment rates in similar jurisdictions, the impact of payment rates on the recruitment and retention of qualified providers, increased service delivery costs due to regulatory requirements, and any new services or populations that may have emerged since the last review.
The findings from each review must be reported to key legislative leaders, including the clerks of the House and Senate, the chairs of the House and Senate committees on ways and means, and the chairs of the Joint Committee on Health Care Financing. This report is required to be submitted by October 1 of the year preceding the release of updated rate regulations, ensuring that the legislative bodies are informed and can make necessary adjustments to reimbursement rates based on the findings.