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SENATE DOCKET, NO. 402 FILED ON: 1/13/2023
SENATE . . . . . . . . . . . . . . No. 370
The Commonwealth of Massachusetts
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PRESENTED BY:
Adam Gomez
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To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General
Court assembled:
The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill:
An Act relative to intensive case management for clinically complex older adults.
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PETITION OF:
NAME:DISTRICT/ADDRESS :Adam GomezHampdenJoanne M. ComerfordHampshire, Franklin and Worcester1/31/2023Sal N. DiDomenicoMiddlesex and Suffolk2/9/2023Mathew J. Muratore1st Plymouth2/10/2023Michael D. BradySecond Plymouth and Norfolk3/1/2023Mark C. MontignySecond Bristol and Plymouth3/3/2023 1 of 2
SENATE DOCKET, NO. 402 FILED ON: 1/13/2023
SENATE . . . . . . . . . . . . . . No. 370
By Mr. Gomez, a petition (accompanied by bill, Senate, No. 370) of Adam Gomez, Joanne M.
Comerford, Sal N. DiDomenico, Mathew J. Muratore and other members of the General Court
for legislation relative to intensive case management for clinically complex older adults. Elder
Affairs.
[SIMILAR MATTER FILED IN PREVIOUS SESSION
SEE SENATE, NO. 398 OF 2021-2022.]
The Commonwealth of Massachusetts
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In the One Hundred and Ninety-Third General Court
(2023-2024)
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An Act relative to intensive case management for clinically complex older adults.
Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority
of the same, as follows:
1 Chapter 19A of the General Laws, as appearing in the 2020 Official Edition, is hereby
2amended by inserting, after section 4, the following section:-
3 Section 4 1/2.
4 (a) For the purposes of this section, the following words shall have the following
5meanings: “Clinically Complex”. A summarized status of an individual’s clinical eligibility for
6receiving intensive case management.
7 (b) There is hereby established the intensive case management program for the purposes
8of supporting individuals who are current or prospective participants of the home care program 2 of 2
9established in section 4, but who are determined to be clinically complex and therefore require
10sustained, in-depth case management exceeding the level provided under the program. Intensive
11case management shall be provided to transition an individual into receiving home care program
12services, or to retain an active enrollee who is experiencing program participation challenges due
13to 1) serious mental illness or behavioral disturbances; 2) complex dynamics involving the
14family and informal support networks that impact the acceptance or delivery of critical home
15care services; or 3) multiple medical and/or functional needs that put at risk the ability of the
16ASAP to appropriately serve the enrollee.
17 (c) The department shall establish intensive case management reimbursement rates that
18reasonably reflect the level of expertise and commitment of time required to successfully support
19a qualifying individual’s enrollment and ongoing participation in the State Home Care program.