Establishes annual cost of living adjustment, based on Consumer Price Index, to base Medicaid per diem rates for assisted living programs; makes appropriation.
Impact
If enacted, S2129 would significantly influence the financial structure of Medicaid funding for assisted living services in New Jersey. By requiring the Division of Medical Assistance and Health Services to adjust per diem rates based on inflation, the bill seeks to alleviate some of the financial pressures that facilities may face due to rising operational costs. Currently, the per diem rates are set at $89.50 for assisted living facilities, $79.50 for comprehensive personal care homes, and $69.50 for assisted living programs. The bill exemplifies a proactive approach to ensuring that the financial resources available for these crucial services keep pace with economic changes.
Summary
Senate Bill S2129, introduced in New Jersey's 221st Legislature, aims to establish an annual cost of living adjustment (COLA) for the base per diem rates paid to assisted living facilities and programs under the Medicaid system. This legislation intends to ensure that the reimbursement rates for assisted living facilities, comprehensive personal care homes, and similar programs adequately reflect the rising costs associated with providing care, as determined by the Consumer Price Index (CPI). The adjustments are set to take effect starting July 1 of the year following the bill's passage and will continue annually thereafter.
Contention
While the bill has potential benefits in terms of supporting assisted living facilities, it may also lead to discussions regarding budgetary constraints and allocations within the state’s Medicaid program. Opponents may argue about the appropriateness of increased appropriations from the General Fund to support these adjustments, especially in a budget-sensitive environment. There may be debates surrounding what this means for other state-funded programs and how currently available resources could be stretched to accommodate these increased expenses.
Same As
Establishes annual cost of living adjustment, based on Consumer Price Index, to base Medicaid per diem rates for assisted living programs; makes appropriation.
NJ S3742
Carry Over
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, 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.