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| 2 | 2 | | HOUSE DOCKET, NO. 834 FILED ON: 1/17/2023 |
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| 3 | 3 | | HOUSE . . . . . . . . . . . . . . . No. 630 |
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| 4 | 4 | | The Commonwealth of Massachusetts |
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| 5 | 5 | | _________________ |
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| 6 | 6 | | PRESENTED BY: |
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| 7 | 7 | | Danielle W. Gregoire |
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| 8 | 8 | | _________________ |
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| 9 | 9 | | To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General |
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| 10 | 10 | | Court assembled: |
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| 11 | 11 | | The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill: |
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| 12 | 12 | | An Act relative to intensive case management for clinically complex older adults. |
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| 13 | 13 | | _______________ |
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| 14 | 14 | | PETITION OF: |
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| 15 | 15 | | NAME:DISTRICT/ADDRESS :DATE ADDED:Danielle W. Gregoire4th Middlesex1/17/2023Joanne M. ComerfordHampshire, Franklin and Worcester1/31/2023Steven Ultrino33rd Middlesex2/9/2023Mathew J. Muratore1st Plymouth2/15/2023Patrick Joseph Kearney4th Plymouth2/15/2023Michelle M. DuBois10th Plymouth2/15/2023 1 of 2 |
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| 16 | 16 | | HOUSE DOCKET, NO. 834 FILED ON: 1/17/2023 |
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| 17 | 17 | | HOUSE . . . . . . . . . . . . . . . No. 630 |
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| 18 | 18 | | By Representative Gregoire of Marlborough, a petition (accompanied by bill, House, No. 630) of |
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| 19 | 19 | | Danielle W. Gregoire and others relative to intensive case management for clinically complex |
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| 20 | 20 | | older adults. Elder Affairs. |
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| 21 | 21 | | [SIMILAR MATTER FILED IN PREVIOUS SESSION |
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| 22 | 22 | | SEE HOUSE, NO. 740 OF 2021-2022.] |
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| 23 | 23 | | The Commonwealth of Massachusetts |
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| 24 | 24 | | _______________ |
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| 25 | 25 | | In the One Hundred and Ninety-Third General Court |
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| 26 | 26 | | (2023-2024) |
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| 27 | 27 | | _______________ |
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| 28 | 28 | | An Act relative to intensive case management for clinically complex older adults. |
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| 29 | 29 | | Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority |
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| 30 | 30 | | of the same, as follows: |
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| 31 | 31 | | 1 Chapter 19A is hereby amended by inserting after section 4 the following section:- |
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| 32 | 32 | | 2 Section 41/2: (a) For the purposes of this section, the following words shall have the |
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| 33 | 33 | | 3following meanings: “Clinically Complex”. A summarized status of an individual’s clinical |
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| 34 | 34 | | 4eligibility for receiving intensive case management. |
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| 35 | 35 | | 5 (b) There is hereby established the intensive case management program for the purposes |
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| 36 | 36 | | 6of supporting individuals who are current or prospective participants of the home care program |
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| 37 | 37 | | 7established in section 4, but who are determined to be clinically complex and therefore require |
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| 38 | 38 | | 8sustained, in-depth case management exceeding the level provided under the program. Intensive |
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| 39 | 39 | | 9case management shall be provided to transition an individual into receiving home care program 2 of 2 |
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| 40 | 40 | | 10services, or to retain an active enrollee who is experiencing program participation challenges due |
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| 41 | 41 | | 11to 1) serious mental illness or behavioral disturbances; 2) complex dynamics involving the |
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| 42 | 42 | | 12family and informal support networks that impact the acceptance or delivery of critical home |
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| 43 | 43 | | 13care services; or 3) multiple medical and/or functional needs that put at risk the ability of the |
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| 44 | 44 | | 14ASAP to appropriately serve the enrollee. |
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| 45 | 45 | | 15 (c) The department shall establish intensive case management reimbursement rates that |
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| 46 | 46 | | 16reasonably reflect the level of expertise and commitment of time required to successfully support |
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| 47 | 47 | | 17a qualifying individual’s enrollment and ongoing participation in the State Home Care program. |
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