Public Meeting Notice

Public Meeting Notice  Department of Mental Health Medical Necessity Commission - 11/17/2023

Friday, November 17, 2023
2 p.m. - 3 p.m.
  • Posted: November 14, 2023 3:33 p.m.
  • Last Updated: November 14, 2023 3:33 p.m.

Overview   of Department of Mental Health Medical Necessity Commission - 11/17/2023

Place:

Join Zoom Meeting

https://zoom.us/j/92376098646?pwd=NUgwOHlWL3pOMDF5ajlCSXpGU25wdz09

 

Meeting ID: 923 7609 8646

Passcode: 789907

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Meeting ID: 923 7609 8646

Passcode: 789907

 

Find your local number: https://zoom.us/u/adG9YCBs1K

Contact:

Avis Somerville

617-626-8130

avis.somerville@mass.gov

Meeting Minutes

Agenda

  • Feasibility of Uniform Medical Necessity Criteria (Consideration of motions introduced at 10/20/23 meeting)
    • Commission member Rohn Friedman introduced a motion, seconded by commission member Joseph Shrand, to include in the Commission’s report a recommendation that the Legislature require standardized behavioral health medical necessity criteria, uniform across payers, to the maximum degree possible.
    • Commission member Joseph Shrand further proposed the commission’s report include the following recommendation: The commission submits that a common medical necessity criterion can be established with the contribution of clinicians, patient advocates, those with lived experience, and insurance companies. Such medical necessity criteria shall be drawn from curated current medically necessity criteria from insurance companies, addressing health care services or supplies needed to diagnose or treat an illness, injury, condition, disease, or its symptoms and that meet accepted standards of medicine, and integrated with any novel contributions from the members of the medical necessity committee.
  • Additional Recommendations (where does the Commission have agreement and what should be considered in recommendations)
  • Report Development (who will write, review, edit, minority reports)
  • New Business not Anticipated at Time of Posting

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