Increases hourly limit of reimbursable personal care assistant services under NJ WorkAbility Program.
Impact
The increase in service hours will primarily affect how personal care assistant services are structured under Medicaid. Given the existing regulations which restrict services to 40 hours, this bill would considerably expand the support available to disabled individuals who are both working and in need of assistance. The changes are expected to strengthen the state's commitment to supporting qualified individuals in maintaining their employment while also addressing their health care needs.
Summary
Bill S1497, introduced in New Jersey, aims to increase the hourly limit of reimbursable personal care assistant services under the NJ WorkAbility Program from 40 hours to 112 hours per calendar work week. This change is particularly significant as the NJ WorkAbility Program provides essential support to employed individuals with disabilities who might otherwise lose Medicaid eligibility due to their earnings. By allowing more hours for personal care assistance, the bill seeks to enhance the quality of life and workforce participation of individuals with permanent disabilities.
Contention
While the bill is designed to provide more flexibility and support for personal care assistance, there may be concerns related to the financial implications for the state Medicaid program. Questions may arise regarding funding and the sustainability of increasing reimbursable hours, especially in light of potential federal participation claims that the Commissioner of Human Services would need to secure. Stakeholders may debate the balance between increasing assistance and managing budgetary constraints in public health funding.
To Amend The Medicaid Fraud Act And The Medicaid Fraud False Claims Act; And To Update Language And Definitions To Reflect Changes Within The Healthcare System;.
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.
Provides for presumptive eligibility for home and community-based services and services provided through program of all-inclusive care for the elderly under Medicaid.