[First Reprint] ASSEMBLY, No. 3792 STATE OF NEW JERSEY 220th LEGISLATURE INTRODUCED MAY 2, 2022
[First Reprint]
ASSEMBLY, No. 3792
STATE OF NEW JERSEY
220th LEGISLATURE
INTRODUCED MAY 2, 2022
Sponsored by: Assemblyman DANIEL R. BENSON District 14 (Mercer and Middlesex) Assemblyman ANTHONY S. VERRELLI District 15 (Hunterdon and Mercer) SYNOPSIS Increases Medicaid reimbursement for in-person partial care behavioral health and substance use disorder treatment services, and associated transportation services, for adults. CURRENT VERSION OF TEXT As reported by the Assembly Health Committee on October 13, 2022, with amendments.
Sponsored by:
Assemblyman DANIEL R. BENSON
District 14 (Mercer and Middlesex)
Assemblyman ANTHONY S. VERRELLI
District 15 (Hunterdon and Mercer)
SYNOPSIS
Increases Medicaid reimbursement for in-person partial care behavioral health and substance use disorder treatment services, and associated transportation services, for adults.
CURRENT VERSION OF TEXT
As reported by the Assembly Health Committee on October 13, 2022, with amendments.
An Act concerning Medicaid reimbursement for certain behavioral health and addiction services and supplementing Title 30 of the Revised Statutes. Be It Enacted by the Senate and General Assembly of the State of New Jersey: 1. a. As used in this section: "Adult" means an individual aged 21 years and older. "Partial care services" means comprehensive, individualized, structured, non-residential behavioral health care and support services for an adult with severe mental illness or substance use disorder in order to facilitate community integration and prevent hospitalization and relapse. Partial care services may include, but are not limited to: psychiatric care, individual and group counseling, case management, and prevocational services. b. The reimbursement rate for in-person partial care services within the Medicaid program, established pursuant to P.L.1968, c.413 (C.30:4D-1 et seq.), whether such services are provided in the Medicaid fee-for-service delivery system or through the Medicaid managed care delivery system, shall be no less than the applicable established State Medicaid rate as of the effective date of this act, increased by 35 percent. c. The aggregate reimbursement rate for transportation services and mileage to or from a partial care services provider within the Medicaid program, established pursuant to P.L.1968, c.413 (C.30:4D-1 et seq.), whether such services are provided in the Medicaid fee-for-service delivery system or through the Medicaid managed care delivery system, shall be no less than $10 for each one-way trip. d. The Medicaid reimbursement rates established pursuant to this act shall 1[only]1 apply to services provided to an adult 1[, as of] Medicaid beneficiary on or after1 the effective date of this act. 2. The Commissioner of Human Services shall apply for such State plan amendments or waivers as may be necessary to implement the provisions of this act and to secure federal financial participation for State Medicaid expenditures under the federal Medicaid program. 3. The Commissioner of Human Services, pursuant to the "Administrative Procedure Act," P.L.1968, c.410 (C.52:14B-1 et seq.) 1,1 shall adopt rules and regulations necessary to implement the provisions of this act. 4. This act shall take effect on the first day of the fourth month next following the date of enactment, but the Commissioner of Human Services may take such anticipatory administrative action in advance thereof as may be necessary for the implementation of this act.
An Act concerning Medicaid reimbursement for certain behavioral health and addiction services and supplementing Title 30 of the Revised Statutes.
Be It Enacted by the Senate and General Assembly of the State of New Jersey:
1. a. As used in this section:
"Adult" means an individual aged 21 years and older.
"Partial care services" means comprehensive, individualized, structured, non-residential behavioral health care and support services for an adult with severe mental illness or substance use disorder in order to facilitate community integration and prevent hospitalization and relapse. Partial care services may include, but are not limited to: psychiatric care, individual and group counseling, case management, and prevocational services.
b. The reimbursement rate for in-person partial care services within the Medicaid program, established pursuant to P.L.1968, c.413 (C.30:4D-1 et seq.), whether such services are provided in the Medicaid fee-for-service delivery system or through the Medicaid managed care delivery system, shall be no less than the applicable established State Medicaid rate as of the effective date of this act, increased by 35 percent.
c. The aggregate reimbursement rate for transportation services and mileage to or from a partial care services provider within the Medicaid program, established pursuant to P.L.1968, c.413 (C.30:4D-1 et seq.), whether such services are provided in the Medicaid fee-for-service delivery system or through the Medicaid managed care delivery system, shall be no less than $10 for each one-way trip.
d. The Medicaid reimbursement rates established pursuant to this act shall 1[only]1 apply to services provided to an adult 1[, as of] Medicaid beneficiary on or after1 the effective date of this act.
2. The Commissioner of Human Services shall apply for such State plan amendments or waivers as may be necessary to implement the provisions of this act and to secure federal financial participation for State Medicaid expenditures under the federal Medicaid program.
3. The Commissioner of Human Services, pursuant to the "Administrative Procedure Act," P.L.1968, c.410 (C.52:14B-1 et seq.) 1,1 shall adopt rules and regulations necessary to implement the provisions of this act.
4. This act shall take effect on the first day of the fourth month next following the date of enactment, but the Commissioner of Human Services may take such anticipatory administrative action in advance thereof as may be necessary for the implementation of this act.