A 1409 New Jersey General Assembly · 2024-2025 Regular Session

Requires Medicaid fee-for-service coverage of managed long term services and supports when beneficiary is pending enrollment in managed care organization.

This bill requires New Jersey's Medicaid program to provide fee-for-service coverage for long-term care services (like those from assisted living residences or personal care homes) to beneficiaries who are already eligible for Medicaid's managed long-term services program but are waiting up to 60 days to enroll in a managed care organization (MCO). It ensures no payment gap exists during this transition period, starting from the date of eligibility and ending when MCO enrollment begins. The bill formalizes an existing Medicaid policy to prevent service disruptions for vulnerable residents awaiting MCO enrollment. It directs the state to seek necessary federal approvals to implement this change.
Bill status in committee 1 of 4 stages cleared
Introduction
Jan 2024
Committee Review
Floor Vote
Governor
Introduced Jan 9, 2024 Last action Jan 9, 2024
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Jan 9, 2024
Introduced
Introduced in the Assembly, Referred to Assembly Aging and Human Services Committee
lower
2 primary · 0 co-sponsors

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