Provides for certain pediatric NJ FamilyCare beneficiaries to maintain private duty nursing hours when transitioning to Managed Long Term Services and Supports; codifies and expands appeals provisions for private duty nursing services.
This bill ensures children in New Jersey's NJ FamilyCare program (ages 21 and under) who transition from the child health program (EPSDT) to the long-term care program (MLTSS) automatically retain their previous weekly private duty nursing hours. It requires managed care organizations to continue nursing coverage during appeals of reduced services and extends the appeal filing window from 10 to 30 days. The bill also directs the state to review past transitions to identify beneficiaries eligible for increased nursing hours and removes the current 16-hour weekly cap on these services under MLTSS. These changes aim to prevent coverage gaps during program transitions and strengthen appeal rights for families relying on personal nursing care.
Bill status
in committee
1 of 4 stages cleared
Introduction
Feb 2024
Committee Review
Floor Vote
Governor
Introduced Feb 8, 2024
Last action Feb 8, 2024
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Full legislative history
Actions timeline
Total actions
1
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0
Committee
0
Feb 8, 2024
Introduced
Introduced in the Assembly, Referred to Assembly Aging and Human Services Committee
lower
3 primary · 3 co-sponsors
Sponsors
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