Requires NJ FamilyCare to reimburse claims for covered services submitted by clinical social workers, professional counselors, and marriage and family therapists under certain circumstances.
Impact
The bill is significant as it provides a means to enhance the reimbursement mechanism within NJ FamilyCare for mental health services provided by clinical professionals. If passed, it would ensure that not only clinical social workers and licensed counselors are recognized under the NJ FamilyCare program, but it would also allow for associate-level practitioners to deliver services under supervision, thus broadening the pool of mental health professionals eligible for reimbursement. This aligns with broader goals of improving mental health care access across the state, particularly for underserved populations.
Summary
Assembly Bill A4153 requires the New Jersey FamilyCare program to reimburse claims for covered services submitted by licensed clinical social workers, professional counselors, and marriage and family therapists. This bill aims to expand access to mental health care services by ensuring that these professionals are compensated for their work with NJ FamilyCare beneficiaries. Specifically, it sets forth requirements for reimbursement claims, including licensing stipulations and necessary supervisory arrangements to facilitate these services under the existing framework of NJ FamilyCare, which is New Jersey's Medicaid program.
Sentiment
The sentiment surrounding A4153 appears largely positive among mental health advocates and providers, who see it as a crucial step towards enhancing mental health service delivery. However, there may be some concerns expressed by different stakeholders regarding the execution of the bill, particularly about the requirements for supervision and the possible burden on clinical practitioners, which could create logistical challenges in rural or underserved areas.
Contention
Notable points of contention include the specific licensing and supervisory requirements outlined in the bill, which some practitioners may find restrictive. While the intention is to ensure quality services, these stipulations may also limit the practical implementation of services in areas with a shortage of licensed professionals. Discussions around this bill also involve balancing the need for accessibility in mental health services with the regulatory oversight necessary to ensure safe and effective care.
Same As
Requires NJ FamilyCare to reimburse claims for covered services submitted by clinical social workers, professional counselors, and marriage and family therapists under certain circumstances.
Requires NJ FamilyCare to reimburse claims for covered services submitted by clinical social workers, professional counselors, and marriage and family therapists under certain circumstances.
Board of Behavioral Sciences: marriage and family therapists: clinical social workers: educational psychologists: professional clinical counselors: required notice: exemptions.
Establishes minimum NJ FamilyCare reimbursement rate for traumatic brain injury special care nursing facilities; establishes enhanced NJ FamilyCare reimbursement rate for nursing facilities under certain circumstances; makes an appropriation.
Establishes minimum NJ FamilyCare reimbursement rate for certain out-of-state hospitals that provide services to NJ FamilyCare pediatric beneficiaries.
"Healthy Smiles Act"; increases NJ FamilyCare fee-for-service reimbursement rates for pediatric dental services; requires NJ FamilyCare managed care rates for identical services be no less than fee-for-service rates.
Requires NJ FamilyCare to reimburse claims for covered services submitted by clinical social workers, professional counselors, and marriage and family therapists under certain circumstances.
"Healthy Smiles Act"; increases NJ FamilyCare fee-for-service reimbursement rates for pediatric dental services; requires NJ FamilyCare managed care rates for identical services be no less than fee-for-service rates.
"Healthy Smiles Act"; increases NJ FamilyCare fee-for-service reimbursement rates for pediatric dental services; requires NJ FamilyCare managed care rates for identical services be no less than fee-for-service rates.