Effective April 1, 2024, insurers are required to cover an “annual mental health wellness exam” to improve patient access to mental and behavioral health care in compliance with Chapter 177 of the Acts of 2022, An Act Addressing Barriers to Care
for Mental Health. Massachusetts is the second state in the nation to offer this exam, which may be performed by a primary care physician or a licensed behavioral health clinician. Providers will be reimbursed using an identified procedure code, diagnosis
code, and modifier in compliance with the Division of Insurance Bulletin 2024−02.
Watch a replay of the webinar “Reviewing Massachusetts’ Behavioral Health Wellness Examination” presented by the Massachusetts Medical Society in partnership with the Massachusetts Chapters of the American College of Physicians, the American Academy of
Family Practice, the American Academy of Pediatrics, and the Massachusetts Psychiatric Society.
Please email pprc@mms.org with questions.
**There will be more to come as an FAQ is developed and, over time, further information is gathered**
