NJ
New Jersey Senate Bill S1498

New Jersey 2022-2023 Regular Session

New Jersey Senate Bill S1498

Introduced
2/10/22  

Caption

Requires Medicaid managed care organizations to notify certain beneficiaries of maximum coverage for personal care service hours.

Impact

If passed, this bill would introduce a significant change in how Medicaid managed care organizations handle beneficiary communications. By putting this requirement into effect, it seeks to improve transparency and ensure beneficiaries are adequately informed about their service eligibility. The move is positioned to streamline information sharing and potentially reduce confusion among beneficiaries about their coverage options, which is especially crucial for those in need of personal care services.

Summary

Senate Bill S1498 aims to enhance communication between Medicaid managed care organizations and beneficiaries regarding the coverage of personal care services. The bill mandates that managed care organizations notify beneficiaries of the maximum coverage hours for personal care services to which they are entitled, as well as any additional benefits under the Medicaid program and other state health services for which they might qualify. This notification must occur in writing after a beneficiary's eligibility determination and upon any subsequent redetermination.

Contention

Opponents may voice concerns regarding the implementation of such a notification system, particularly regarding the administrative burden it could impose on managed care organizations. There's also the potential for discussions around whether the written notifications will be comprehensive and ensure that beneficiaries fully understand their rights and benefits. Supporters argue that clear communication is essential for enabling beneficiaries to access the services they need effectively, underlining the importance of well-informed healthcare recipients.

Companion Bills

NJ A4020

Same As Requires Medicaid managed care organizations to notify certain beneficiaries of maximum coverage for personal care service hours.

Previously Filed As

NJ A4020

Requires Medicaid managed care organizations to notify certain beneficiaries of maximum coverage for personal care service hours.

NJ A5383

Requires unrestricted Medicaid coverage for ovulation enhancing drugs and medical services related to administering such drugs for certain beneficiaries experiencing infertility.

NJ S4294

Requires unrestricted Medicaid coverage for ovulation enhancing drugs and medical services related to administering such drugs for certain beneficiaries experiencing infertility.

NJ S761

Requires Medicaid fee-for-service coverage of managed long term services and supports when beneficiary is pending enrollment in managed care organization.

NJ S413

Requires Medicaid fee-for-service coverage of managed long term services and supports when beneficiary is pending enrollment in managed care organization.

NJ A1409

Requires Medicaid fee-for-service coverage of managed long term services and supports when beneficiary is pending enrollment in managed care organization.

NJ A4012

Requires Medicaid fee-for-service coverage of managed long term services and supports when beneficiary is pending enrollment in managed care organization.

NJ S693

Requires Medicaid coverage for ovulation enhancing drugs and medical services related to administering such drugs for certain beneficiaries experiencing infertility.

NJ S3733

Requires Medicaid coverage for ovulation enhancing drugs and medical services related to administering such drugs for certain beneficiaries experiencing infertility.

NJ SB185

Provides relative to Medicaid and certain managed health care organizations providing health care services to Medicaid beneficiaries. (1/1/14) (RR1 See Note)

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NJ A2878

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NJ S3767

Establishes minimum Medicaid reimbursement rate for structured day program services provided to beneficiary eligible for brain injury services.

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