Establishes minimum Medicaid reimbursement rate for pediatric special care nursing facilities; makes an appropriation.
Impact
The proposed legislation aims to address the financial disparities among existing pediatric SCNFs in New Jersey, where currently only four facilities partake in the Medicaid and NJ FamilyCare programs. This bill seeks to narrow the reimbursement gap—63.5 percent—between the highest and lowest payment rates among these facilities. By bridging this gap, the bill would provide a more equitable funding structure, ensuring all facilities can maintain a standard of care essential for medically fragile children.
Summary
S1456, introduced in New Jersey, mandates the establishment of a minimum Medicaid reimbursement rate of no less than $950.00 per day for pediatric special care nursing facilities (SCNFs). These facilities provide essential long-term care and rehabilitation for children and youth up to 21 years of age who require specialized services. The bill's intent is to ensure that these specialized facilities receive adequate funding to offer quality care while complying with state and federal regulations.
Contention
There are concerns from various stakeholders about the implications of this bill. While supporters advocate for improved funding and support for pediatric SCNFs, critics may argue that the financial appropriations could strain the state budget. The bill calls for appropriations from the General Fund, which raises questions about the sustainability of such funding and its potential impact on other healthcare programs. Ensuring federal financial participation is also a critical step mentioned in the bill to implement these provisions effectively.
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.
Requires Medicaid reimbursement for covered behavioral health services provided by local education agency to student who is eligible Medicaid beneficiary.
Requires Medicaid reimbursement for covered behavioral health services provided by local education agency to student who is eligible Medicaid beneficiary.
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.