Establishes minimum Medicaid reimbursement rate for pediatric special care nursing facilities; makes an appropriation.
Impact
The introduction of this bill is significant for pediatric SCNFs, as it seeks to close a notable reimbursement gap that currently exists. Presently, there is approximately a 63.5% discrepancy in reimbursement rates among the four facilities in operation in New Jersey that cater to this demographic. By ensuring a minimum reimbursement rate, the bill aims to promote equity in funding across facilities, enhancing their ability to provide necessary care and potentially improving health outcomes for vulnerable children.
Summary
Bill A416 aims to establish a minimum Medicaid reimbursement rate for pediatric special care nursing facilities (SCNFs) in New Jersey. The bill specifies that the Division of Medical Assistance and Health Services will reimburse facilities participating in the Medicaid program at a base rate of no less than $950 per day. This rate will apply only to facilities that comply with state and federal regulations regarding licensure, safety, and quality of care. The intent is to ensure that these specialized facilities can adequately care for medically fragile children and youth up to the age of 21.
Contention
While the bill has garnered support for addressing funding inequalities, it may face scrutiny regarding the appropriations involved and the potential impact on the state's budget. Concerns may arise over whether the specified reimbursement level is sustainable in light of broader fiscal constraints. Additionally, there could be discussions on how effectively the bill will ensure that quality of care improves alongside increased funding, particularly regarding how funds will be allocated and monitored to achieve the desired outcomes for facilities and the children they serve.
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.