Bill > S1626

This bill requires the New Jersey Department of Human Services (DHS) and the State Board of Medical Examiners to collaborate on improving the efficiency of reviewing NJ FamilyCare provider applications. Specifically, the bill mandates that within 365 days of the act's effective date, the two agencies will develop a process to streamline the application and licensure process for physicians. The State Board of Medical Examiners must share licensure information with DHS within five days of issuing or denying a license, including providing the license number. In turn, DHS must promptly process NJ FamilyCare provider applications, beginning to review them immediately upon receipt and notifying applicants within 15 days of any additional documentation needed. The bill clarifies that this process does not change existing licensure or enrollment requirements and defines NJ FamilyCare as the state's Medicaid and Children's Health Insurance Program. Additionally, the bill includes a provision requiring managed care plan carriers to review health care professional applications through a committee and provide a determination within six months. The goal is to make the provider application process more efficient and transparent for medical professionals seeking to participate in the NJ FamilyCare program.

Budget and Finance, Health and Social Services

https://www.njleg.state.nj.us/bill-search/2024/S1626