To improve continuity of care for MassHealth members with chronic conditions
The implications of SB 844 are significant, as it aims to simplify the process of obtaining necessary long-term care services. By allowing prior authorization for these services to be effective for up to five years, the bill reduces the administrative burden on both service providers and beneficiaries. This change is intended to facilitate easier access and continuity of care for individuals with chronic conditions, thereby ensuring that they receive the requisite support over an extended period without the need for repeated approvals.
Senate Bill 844, titled 'An Act to improve continuity of care for MassHealth members with chronic conditions,' seeks to streamline and enhance the delivery of long-term care services for individuals enrolled in Massachusetts' MassHealth program. The bill proposes amendments to Chapter 118E of the General Laws by establishing new prior authorization requirements specifically for community-based long-term care for members suffering from chronic conditions. This includes a variety of services such as adult day health care, foster care services, home health aides, and personal care attendant services.
While the bill has garnered support for its focus on improving access to care for vulnerable populations, there may be points of contention regarding the effectiveness of the proposed prior authorization process. Critics might argue that the five-year authorization period could lead to inflexible service plans that do not account for changes in a member's health condition, potentially resulting in inadequate care. Additionally, there may be concerns about the adequacy of oversight given to service providers, as the bill requires that changes to a service plan be made at the request of the member or primary care provider, which could strain resources if not managed effectively.