Provides DHS and State Board of Medical Examiners to develop and implement process to improve efficiency of reviewing NJ FamilyCare provider applications.
Impact
The successful implementation of A4620 would result in a more efficient and faster application process for healthcare providers seeking to participate in the NJ FamilyCare program. By establishing a timeline for communication and documentation sharing between the State Board of Medical Examiners and the DHS, the bill is expected to reduce administrative delays, ultimately providing timely access to healthcare services for families in need of assistance.
Summary
Assembly Bill A4620 aims to enhance the efficiency of reviewing applications for providers wishing to enroll in NJ FamilyCare, which encompasses the Medicaid and Children's Health Insurance Programs. The bill mandates that the Department of Human Services (DHS) work with the State Board of Medical Examiners to devise a streamlined process to review applications, ensuring that all necessary information is shared between the two entities. This legislative measure is set to significantly improve the enrollment process for medical professionals offering services under the NJ FamilyCare program.
Sentiment
The sentiment surrounding A4620 is generally positive among healthcare professionals and advocates for increased efficiency in healthcare access. Many stakeholders view the bill as a progressive step towards ensuring that providers can quickly enroll in Medicaid services, thereby improving the overall accessibility of care for NJ FamilyCare beneficiaries. However, there are concerns regarding how the bill will be executed in practice and if it will truly address existing inefficiencies in the system.
Contention
While the bill is primarily designed to streamline processes, there are discussions regarding the adequacy of current safeguards for maintaining strict criteria and oversight in provider qualifications. Some voices in the legislative assembly express worry that haste in reviewing applications could compromise the thoroughness of vetting new providers. The bill does not alter any existing licensure requirements for providers, yet debate continues around the balance between efficiency and rigorous oversight in the context of public health services.
Same As
Provides for enrollment as NJ FamilyCare provider in conjunction with licensure application; Requires health insurance carriers to determine provider enrollment within six months of application.
Provides DHS and State Board of Medical Examiners to develop and implement process to improve efficiency of reviewing NJ FamilyCare provider applications.
Requires DHS and State Board of Medical Examiners to develop and implement process to improve efficiency of reviewing NJ FamilyCare provider applications.
Provides for enrollment as NJ FamilyCare provider in conjunction with licensure application; Requires health insurance carriers to determine provider enrollment within six months of application.
Establishes minimum NJ FamilyCare reimbursement rate for certain out-of-state hospitals that provide services to NJ FamilyCare pediatric beneficiaries.
Requires initial Medicaid and NJ FamilyCare eligibility determinations to be made not later than 21 days following application submission; provides that NJ FamilyCare coverage is terminated whenever required premium is not paid for three consecutive months.
Establishes minimum NJ FamilyCare reimbursement rate for certain out-of-state hospitals that provide services to NJ FamilyCare pediatric beneficiaries.
Establishes minimum NJ FamilyCare reimbursement rate for certain out-of-state hospitals that provide services to NJ FamilyCare pediatric beneficiaries.
Provides DHS and State Board of Medical Examiners to develop and implement process to improve efficiency of reviewing NJ FamilyCare provider applications.
Requires DHS and State Board of Medical Examiners to develop and implement process to improve efficiency of reviewing NJ FamilyCare provider applications.
Designates minimum percentage of residential substance use disorder treatment facility beds for use by NJ FamilyCare eligible individuals as condition for licensure.
Provides for enrollment as NJ FamilyCare provider in conjunction with licensure application; Requires health insurance carriers to determine provider enrollment within six months of application.
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 traumatic brain injury special care nursing facilities; establishes enhanced NJ FamilyCare reimbursement rate for nursing facilities under certain circumstances; makes an appropriation.
Establishes minimum base NJ FamilyCare per diem reimbursement rate of $1,100 for special care nursing facility with neurologically impaired young adult unit.
Establishes minimum base NJ FamilyCare per diem reimbursement rate of $1,100 for special care nursing facility with neurologically impaired young adult unit.