TO:Commercial Health Insurers, Blue Cross and Blue Shield of Massachusetts, Inc.and Health Maintenance Organizations
FROM:Linda Ruthardt, Commissioner of Insurance
DATE:January 24, 2002
RE:Changes in the Early Intervention Mandate

This bulletin is to inform carriers of certain changes to the Massachusetts mandated benefit for early intervention as expressed within Chapter 203 of the Acts of 2001 (Chapter 203), which was signed into law on December , 2001. Section 8 of Chapter 203 amends M.G.L. c. 175 §47C; section 9 amends c. 176A §8B; section 10 amends c. 176B §4C; and section 11 amends c. 176G §4.
The effect of these changes is to remove sections of the existing mandated benefit specifying that services include "occupational, physical and speech therapy, nursing care and psychological counseling.....provided by persons licensed [as medical doctors] under the provisions of chapter one hundred and twelve." The amended sections specify that the services may be provided by "early intervention specialists" according to "operational standards [developed] by the Department of Public Health." Copies of such standards may be obtained by accessing the Department of Public Health & Early Intervention Services website at or by contacting the Department of Public Health.
Any questions regarding the Department of Public Health operational standards should be addressed to Ronald Denham, Director of Early Intervention Services at (617) 624-5969. Any questions regarding any other parts of this bulletin should be addressed to Kevin Beagan, Director, Health Unit of the State Rating Bureau at (617) 521-7347.