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Bill > A5832


NJ A5832

NJ A5832
Establishes minimum base NJ FamilyCare per diem reimbursement rate of $1,100 for special care nursing facility with neurologically impaired young adult unit.


summary

Introduced
12/04/2023
In Committee
12/04/2023
Crossed Over
Passed
Dead
01/08/2024

Introduced Session

2022-2023 Regular Session

Bill Summary

This bill establishes a minimum base NJ FamilyCare per diem reimbursement rate of $1,100 for special care nursing facilities which operate a neurologically impaired young adult unit. Under the bill, a special care nursing facility is defined as a nursing facility licensed pursuant to P.L.1971, c.136 (C.26:2H-1 et seq.) that is not a unit attached to, or on the same campus as, a rehabilitation or acute care hospital and is not a distinct unit within a NJ FamilyCare-certified conventional nursing facility, and which has been approved by the Department of Human Services to provide care to NJ FamilyCare recipients who require specialized nursing facility services beyond the scope of a conventional nursing facility Specifically, the bill requires the Division of Medical Assistance and Health Services in the Department of Human Services to reimburse a special care nursing facility, issued a certificate of need by the Department of Health as of July 1, 2023 to operate a neurologically impaired young adult unit, a base NJ FamilyCare per diem reimbursement rate that is, at a minimum, the greater of the special care nursing facility's FY 2022 base NJ FamilyCare per diem reimbursement rate or $1,100 per diem. This bill applies to reimbursements beginning January 1, 2024 and only those facilities in compliance with all applicable federal and state laws and regulations concerning licensure, patient safety, and quality of care.

AI Summary

This bill establishes a minimum base NJ FamilyCare (the state's Medicaid program and Children's Health Insurance Program) per diem reimbursement rate of $1,100 for special care nursing facilities that operate a neurologically impaired young adult unit. A special care nursing facility is defined as a licensed nursing facility that is not attached to or on the same campus as a rehabilitation or acute care hospital and is not a distinct unit within a conventional nursing facility, and has been approved by the Department of Human Services to provide specialized nursing services. The bill requires the Division of Medical Assistance and Health Services to implement this reimbursement rate for facilities that meet the criteria, starting on January 1, 2024, and allows the Commissioner of Human Services to adopt necessary regulations and seek federal approval to ensure federal financial participation.

Committee Categories

Health and Social Services

Sponsors (1)

Last Action

Introduced, Referred to Assembly Human Services Committee (on 12/04/2023)

bill text


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