Health Care Access Bureau

Created as part of the health care reform legislation of 2006, the Health Care Access Bureau is responsible for regulatory oversight of the small group and individual health insurance markets, and of affordable health plans. The Bureau disseminates information to consumers relative to health insurance coverage and, specifically, access to affordable insurance products.

Merged Market Health Insurance Rates

Merged Market Health Insurance Rates

Health Care Coverage Information

Coverage Information

Standard Prior Authorization Forms

Prior authorization forms when reviewing requests for service according to M.G.L. c. 176O, 25(c).

• Standard Prior Authorization Form for ABA Services
• Oncology Prior Authorization Form
• Behavioral Health Disorders - Level of Care Request Form
• Repetitive Transcranial Magnetic Simulation Request Form
• Psychological and Neuropsychological Assessment Supplemental Form
• Massachusetts Standard Form for Medication Prior Authorization Request
• Cardiac Imaging Prior Authorization Form to be used with Myocardial Perfusion Imaging (MPI); Stress Echocardiogram; Multiple Gated Acquisition Scan (MUGA); Transthoracic Echocardiogram (TTE); Transesophageal Echocardiogram (TEE)
• PET - PET CT Prior Authorization Form
• CT/CTA/MRI/MRA Prior Authorization Form
• Massachusetts Standard Form for Hepatitis C Medication Prior Authorization Requests
• Non-OB Ultrasound Authorization Form
• Massachusetts Standard Form for SYNAGIS Prior Authorization Requests 

Reports and Publications

• Essential Health Benefit Benchmark Plan - 2017
• Essential Health Benefit Benchmark Plan - 2014