Section 51 Same-day Billing 4

Section 4M of chapter 176G of the General Laws, as so appearing, is hereby amended by adding the following subsection:-

(j) A health maintenance organization may not deny coverage for any behavioral health services or any evaluation and management office visit solely because the behavioral health services and the evaluation and management office visit were delivered on the same day in the same practice or facility, unless the behavioral health services and the evaluation and management office visit were delivered by the same provider or by providers of the same specialty.

The division of insurance shall provide guidance relative to implementation of this subsection.