Extends COVID-19 Medicaid per diem rate, and requires Medicaid coverage without prior authorization, for certain partial care behavioral health and substance use disorder treatment services.
Impact
By extending these financial provisions, SB 669 aims to enhance access to critical mental health services without the burden of prior authorization requirements. This shift is anticipated to reduce administrative hurdles for healthcare providers, thus improving the overall efficiency of service delivery. The bill mandates that providers will not need prior authorization for up to five hours of coverage per day, enabling flexibility in how care is delivered while focusing on the individual needs of patients. This aligns with the ongoing need for accessible and timely behavioral healthcare.
Summary
Senate Bill 669 proposes significant amendments to Medicaid reimbursement policies for partial care services related to behavioral health and substance use treatment. Specifically, the bill extends the per diem rate for partial care services provided via telehealth for an additional 180 days following the end of the federal Medicaid waiver that initially authorized these rates. This extension is crucial for the financial stability of service providers as they transition back to in-person care in the wake of the COVID-19 pandemic. The per diem rates allow for sustainable support of patients and facilitate necessary adaptations in service delivery.
Contention
Challenges may arise around the implementation of this bill, particularly concerning the adequacy of reimbursement levels and the experience of providers adapting to new compliance measures. Some stakeholders might express concerns about whether the extensions and removed restrictions truly address the gaps in service availability that have become evident during the pandemic. It will be crucial for the Division of Medical Assistance and Health Services to evaluate the effectiveness of these provisions based on the submitted status reports from providers to ensure that they meet ongoing patient care needs effectively.
Carry Over
Extends COVID-19 Medicaid per diem rate, and requires Medicaid coverage without prior authorization, for certain partial care behavioral health and substance use disorder treatment services.
NJ A3794
Carry Over
Extends COVID-19 Medicaid per diem rate, and requires Medicaid coverage without prior authorization, for certain partial care behavioral health and substance use disorder treatment services.
Extends COVID-19 Medicaid per diem rate, and requires Medicaid coverage without prior authorization, for certain partial care behavioral health and substance use disorder treatment services.
Extends COVID-19 Medicaid per diem rate, and requires Medicaid coverage without prior authorization, for certain partial care behavioral health and substance use disorder treatment services.
Increases Medicaid reimbursement for in-person partial care and intensive outpatient behavioral health and substance use disorder treatment services, and associated transportation services, for adults.
Increases Medicaid reimbursement for in-person partial care and intensive outpatient behavioral health and substance use disorder treatment services, and associated transportation services, for adults.
Increases Medicaid reimbursement for in-person partial care and intensive outpatient behavioral health and substance use disorder treatment services, and associated transportation services, for adults.
Increases Medicaid reimbursement for in-person partial care and intensive outpatient behavioral health and substance use disorder treatment services, and associated transportation services, for adults.
Increases access to substance use disorder treatment; Requires Medicaid coverage for substance use disorder services provided by community-based organizations.
Increases access to substance use disorder treatment; Requires Medicaid coverage for substance use disorder services provided by community-based organizations.
Extends COVID-19 Medicaid per diem rate, and requires Medicaid coverage without prior authorization, for certain partial care behavioral health and substance use disorder treatment services.
Extends COVID-19 Medicaid per diem rate, and requires Medicaid coverage without prior authorization, for certain partial care behavioral health and substance use disorder treatment services.
An act relating to health equity training in correctional facilities and to community-based mental health and substance use disorder services for detained or incarcerated individuals and individuals reentering the community
An Act Implementing The Recommendations Of The Legislative Program Review And Investigations Committee Concerning Medicaid-funded Emergency Department Visits.