NJ
New Jersey Assembly Bill A4583

New Jersey 2024-2025 Regular Session

New Jersey Assembly Bill A4583

Introduced
6/13/24  

Caption

Requires DHS to review, and implement certain improvements to, Medicaid Managed Long-Term Services and Supports Program and to establish public-facing report card of managed care organization's coordination of program.

Impact

If passed, A4583 would have significant implications for the state's approach to long-term care management. By requiring the establishment of a public-facing report card for MCOs, the bill aims to increase transparency and allow consumers to make better-informed decisions regarding their long-term care options. This could lead to improvements in the quality and accessibility of care provided to beneficiaries while also fostering accountability among the MCOs administering these crucial services. Furthermore, annual updates to these report cards will help maintain an ongoing assessment of performance metrics and quality standards.

Summary

Assembly Bill A4583, introduced in the New Jersey 221st Legislature, mandates a comprehensive review of the Medicaid Managed Long-Term Services and Supports (MLTSS) Program. Specifically, the Division of Medical Assistance and Health Services (DHS) is instructed to evaluate and implement necessary improvements to the program. This involves assessing the performance of managed care organizations (MCOs) responsible for administering the program and identifying barriers to transitioning Medicaid members from nursing homes to community-based settings. The bill highlights a commitment to enhancing the overall quality of care for individuals receiving long-term services through Medicaid.

Contention

Notably, the bill may face challenges related to its implementation, particularly concerning how the DHS will manage the increased oversight responsibilities. One potential point of contention is ensuring that MCOs effectively reduce care management caseloads and improve face-to-face interactions with nursing home residents, as mandated by the bill. Critics may argue about the feasibility of these requirements, especially if resource constraints hinder MCOs' ability to comply fully with the new directives. Additionally, community stakeholder input will likely be crucial in identifying the specific improvements that will optimize the MLTSS Program.

Companion Bills

No companion bills found.

Previously Filed As

NJ HB4533

Relating to the administration and operation of Medicaid, including Medicaid managed care and the delivery of Medicaid acute care services and long-term services and supports to certain persons.

NJ HB20

Provides for the implementation of a Medicaid managed long-term services and supports system (Item #38)

NJ HB4115

Relating to the establishment of a home and community support services improvement pilot program under the Medicaid managed care program.

NJ HB334

Provides for implementation of a Medicaid managed long-term services and supports system (OR +$1,250,000 GF EX See Note)

NJ HB2453

Relating to the operation and administration of Medicaid, including the Medicaid managed care program.

NJ SB1139

Relating to the operation and administration of Medicaid, including the Medicaid managed care program.

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 S761

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

NJ A2855

Establishes Medication Management, Outreach, and Support Program in DHS; appropriates $8 million.

NJ S413

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

Similar Bills

NJ S405

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.

NJ S2250

Increases Medicaid reimbursement rates for primary care services; appropriates $20 million.

NH HB1593

Making an appropriation to the department of health and human services to support recreational activities for individuals with developmental disabilities and relative to the uncompensated care and Medicaid fund.

NJ A1860

Increases Medicaid reimbursement rates for primary care services; appropriates $20 million.

KY HB695

AN ACT relating to the Medicaid program and declaring an emergency.

HI HB897

Relating To Health.

HI HB897

Relating To Health.

VA SB1164

Medicaid Financial Oversight, Office of; established.