Bill Text: NJ S3406 | 2018-2019 | Regular Session | Chaptered


Bill Title: Codifies current practice regarding completion of Perinatal Risk Assessment form by certain Medicaid health care providers.*

Spectrum: Strong Partisan Bill (Democrat 10-1)

Status: (Passed) 2019-05-08 - Approved P.L.2019, c.88. [S3406 Detail]

Download: New_Jersey-2018-S3406-Chaptered.html

1-4 -

C.30:4D-7y to

30:4D-7bb

5 - Note

 


P.L. 2019, CHAPTER 88, approved May 8, 2019

Senate, No. 3406 (Second Reprint)

 

 


An Act concerning the Perinatal Risk Assessment form and supplementing Title 30 of the Revised Statutes.

 

     Be It Enacted by the Senate and General Assembly of the State of New Jersey:

 

     1.    An obstetrical provider, nurse midwife, or other licensed health care professional, approved as a provider under the Medicaid program established pursuant to P.L.1968, c.413 (C.30:4D-1 et seq.), shall complete the Perinatal Risk Assessment form, as used by the Division of Medical Assistance and Health Services in the Department of Human Services, for each pregnant Medicaid recipient 1and for each individual eligible for Emergency Medical Services for Non-Qualified Aliens1 who receives prenatal care from the provider.  1The Perinatal Risk Assessment form shall be the uniform document used by all providers and Medicaid managed care plans.1  The form shall be completed by the provider during the 1[recipient's]1 first prenatal visit 1with the pregnant Medicaid recipient or other eligible individual and updated by the provider in the third trimester of the recipient or other eligible individual1.

 

     2.    The division shall require providers to submit each Perinatal Risk Assessment form completed pursuant to section 1 of this act to the division, or to a nonprofit entity contracted by the division to process 1, distribute to appropriate Medicaid managed care plans,1 and maintain the Perinatal Risk Assessment data.  A provider shall not receive authorization for reimbursement for prenatal services provided to a pregnant Medicaid recipient until a Perinatal Risk Assessment form is submitted for that recipient.

 

     3.    The division, in collaboration with the Department of Health, Medicaid managed care organizations, and any nonprofit entity contracted by the division to process 1, distribute,1 and maintain the Perinatal Risk Assessment data, shall analyze the Perinatal Risk Assessment data in order to identify trends in the risk factors associated with Medicaid recipients 1and individuals eligible for Emergency Medical Services for Non-Qualified Aliens1 during pregnancy.  1[The division shall submit a written report 18 months following the enactment] Commencing no later than 18 months after the effective date1 of this act, and annually thereafter, 1the division shall submit a written report1 to the Governor, and to the Legislature pursuant to section 2 of P.L.1991, c.164 (C.52:14-19.1), providing a summary of 1[their] its1 findings 1[,]1 and any proposals for legislative action needed to improve the maternal outcomes of Medicaid recipients 1and individuals eligible for Emergency Medical Services for Non-Qualified Aliens1.

 

     4.    The Commissioners of Health and Human Services, pursuant to the "Administrative Procedure Act," P.L.1968, c.410 (C.52:14B-1 et seq.), shall adopt rules and regulations necessary to implement the provisions of this act.

 

     5.    This act shall take effect 2[immediately] 365 days after the date of enactment2.

 

 

                                

 

     Codifies current practice regarding completion of Perinatal Risk Assessment form by certain Medicaid health care providers.

feedback