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Clinicians and families urge insurers to cover coordinated specialty care and assertive community treatment
Summary
Providers, family members and researchers urged the committee to require commercial insurers to cover Coordinated Specialty Care (CSC) for first-episode psychosis and Assertive Community Treatment (ACT), saying teams cannot sustain operations without insurer reimbursement despite CMS billing codes.
A coalition of clinicians, family advocates and hospital leaders urged the Joint Committee on Financial Services to require commercial insurers, the Group Insurance Commission and MassHealth to cover two evidence-based, team-based services for people with early psychosis and severe mental illness: Coordinated Specialty Care (CSC) and Assertive Community Treatment (ACT).
Kelsey Johnson, program manager for the Massachusetts Psychosis Network for Early Treatment (MAPNET), said CSC is the leading evidence-based intervention for…
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