Bill Text: NJ S842 | 2016-2017 | Regular Session | Introduced
Bill Title: Requires Medicaid managed care organizations to meet certain conditions prior to reducing reimbursement rates for personal care assistant services and home-based supportive care services.
Spectrum: Partisan Bill (Democrat 4-0)
Status: (Failed) 2016-02-08 - Withdrawn from Consideration [S842 Detail]
Download: New_Jersey-2016-S842-Introduced.html
STATE OF NEW JERSEY
217th LEGISLATURE
PRE-FILED FOR INTRODUCTION IN THE 2016 SESSION
Sponsored by:
Senator NELLIE POU
District 35 (Bergen and Passaic)
Senator LORETTA WEINBERG
District 37 (Bergen)
Co-Sponsored by:
Senators Cunningham and Ruiz
SYNOPSIS
Requires Medicaid managed care organizations to meet certain conditions prior to reducing reimbursement rates for personal care assistant services and home-based supportive care services.
CURRENT VERSION OF TEXT
Introduced Pending Technical Review by Legislative Counsel.
An Act concerning Medicaid managed care organizations and supplementing Title 30 of the Revised Statutes.
Be It Enacted by the Senate and General Assembly of the State of New Jersey:
1. Notwithstanding any law, rule, or regulation to the contrary, a health maintenance organization that contracts with the Division of Medical Assistance and Health Services in the Department of Human Services to provide benefits under a managed care plan to persons who are eligible for Medicaid shall not reduce reimbursement rates for personal care assistant services or home based supportive care services, as those services are defined by regulation or in the contract with the division, under the health maintenance organization's Medicaid managed care plan, unless the health maintenance organization notifies the division, in writing, at least 90 days before the effective date of such changes. Such notice shall be accompanied by written assurance that the reduction will not reduce sufficient provider access or quality of service as required by the contract with the division.
2. This act shall take effect immediately, and shall apply to any contract that a health maintenance organization has entered into with the Division of Medical Assistance and Health Services in the Department of Human Services to provide benefits under a managed care plan to persons who are eligible for medical assistance under P.L.1968, c.413 (C.30:4D-1 et seq.) which is executed on or after the effective date of this act.
STATEMENT
This bill requires Medicaid managed care organizations to meet certain conditions prior to reducing reimbursement rates for personal care assistant services and home-based supportive care services.
Under the provisions of this bill, a Medicaid managed care organization is not to reduce reimbursement rates for personal care assistant services or home-based supportive care services unless the health maintenance organization notifies the Division of Medical Assistance and Health Services, in writing, at least 90 days before the effective date of such changes. The notice is required to be accompanied by written assurance that the reduction will not reduce sufficient provider access or quality of service as required by the contract with the division.
