Establishes annual cost of living adjustment, based on Consumer Price Index, to base Medicaid per diem rates for assisted living programs; makes appropriation.
Impact
Upon implementation on July 1 of the year following the bill's enactment, the Division of Medical Assistance and Health Services will automatically adjust these reimbursement rates based on the CPI data published the previous January. For example, current base rates are set at $89.50 for assisted living facilities, $79.50 for comprehensive personal care homes, and $69.50 for assisted living programs. Adjustments derived from the CPI in 2023 suggest increases of approximately $5.73, $5.09, and $4.45 respectively, directly addressing inflation pressures impacting these care facilities.
Summary
Bill S3742, introduced in the New Jersey Legislature, establishes an annual cost of living adjustment to the base Medicaid per diem rates for assisted living programs. This adjustment will be based on the Consumer Price Index (CPI), allowing for an increase in the reimbursement rates paid to assisted living facilities and comprehensive personal care homes for each Medicaid beneficiary. The aim is to ensure that these facilities can continue to provide necessary services without financial strain from rising operational costs.
Contention
There are potential points of contention regarding the bill's financial implications, particularly concerning the appropriations from the General Fund needed to support these adjustments. The Commissioner of Human Services is tasked with seeking any necessary state plan amendments or waivers to secure additional federal financial participation for these Medicaid expenditures. Some stakeholders may express concerns over whether these funding changes will adequately address the increasing costs associated with providing quality care in assisted living facilities.
Establishes annual cost of living adjustment, based on Consumer Price Index, to base Medicaid per diem rates for assisted living programs; makes appropriation.
Establishes annual cost of living adjustment, based on Consumer Price Index, to base Medicaid per diem rates for assisted living programs; makes appropriation.
Establishes annual cost of living adjustment based on Consumer Price Index for programs providing mental health, substance use treatment, or services to persons with developmental disabilities.
Establishes annual cost of living adjustment based on Consumer Price Index for programs providing mental health, substance use treatment, or services to persons with developmental disabilities.
Establishes annual cost of living adjustment based on Consumer Price Index for programs providing mental health, substance use treatment, or services to persons with developmental disabilities.
Codifies and increases under certain circumstances, current minimum Medicaid per diem reimbursement rates for assisted living residences, comprehensive personal care homes, and assisted living programs; makes appropriation.
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.
Requires Medicaid fee-for-service coverage of managed long term services and supports when beneficiary is pending enrollment in managed care organization.
Provides for presumptive eligibility for home and community-based services and services provided through program of all-inclusive care for the elderly under Medicaid.
Provides for presumptive eligibility for home and community-based services and services provided through program of all-inclusive care for the elderly under Medicaid.
Requesting The Department Of Health And Department Of Human Services To: Jointly Review Any Research Applied Behavior Analysis For Adults; Develop And Adopt Rules, Policies, And Plan Amendments Necessary To Ensure That The State Medicaid Program Covers Medically Necessary Services, Including Applied Behavior Analysis Services, For Individuals Aged Twenty-one And Older With Neurodevelopmental Disorders, Including Autism Spectrum Disorder; And Apply For Any Necessary Approvals From The Federal Centers For Medicare And Medicaid Services To Amend The State Medicaid Plan To Provide Reimbursements For Medically Necessary Services, Including Applied Behavior Analysis Services, To Medicaid-eligible Persons Over The Age Of Twenty-one Diagnosed With Autism Spectrum Disorder.