April 1, 2024 // by Walden Pond Pediatrics

Update from Walden Pond Pediatrics 

Effective April 1, 2024

Effective April 1, 2024, Massachusetts law requires insurance carriers to provide a yearly annual mental health wellness exam. The mental health wellness exam is defined as consisting of a screen or assessment that seeks to identify any behavioral, developmental, or mental health needs and appropriate resources for treatment. 

The exam may be provided by the primary care provider as part of an annual preventive visit or as a standalone visit. For details on the mental health law and wellness exam components, please refer to the Massachusetts Division of Insurance Bulletin 2024-02.

For most plans, the mental health wellness exam is covered with no out-of-pocket costs for members when performed by a network licensed mental health professional or primary care provider. If you have questions regarding coverage, please contact your insurance carrier.

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