STATE OF NEW JERSEY
PRE-FILED FOR INTRODUCTION IN THE 2014 SESSION
Assemblyman GARY S. SCHAER
District 36 (Bergen and Passaic)
Increases reimbursement rate for providers of adult medical day care services.
CURRENT VERSION OF TEXT
Introduced Pending Technical Review by Legislative Counsel
An Act concerning reimbursement for providers of adult medical day care services and supplementing Title 30 of the Revised Statutes.
Be It Enacted by the Senate and General Assembly of the State of New Jersey:
1. a. Notwithstanding the provisions of any law or regulation to the contrary, the per diem reimbursement rate for providers of adult medical day care services under the Medicaid program established pursuant to P.L.1968, c.413 (C.30:4D-1 et seq.), or under any other State program funding such services, regardless of provider type, shall be set at $85.77 and shall represent the State published rate for purposes of reimbursement of providers by managed care organizations operating under the Medicaid program.
b. As used in this section:
“Provider of adult medical day care services” means an adult day health services facility licensed by the Department of Health and Senior Services in accordance with N.J.A.C.8:43F-1.1 et seq., which provides preventive, diagnostic, therapeutic, and rehabilitative services under medical and nursing supervision to meet the needs of functionally impaired adult participants for a period of time that does not exceed 12 hours during any calendar day.
2. This act shall take effect immediately and shall apply to services rendered on or after the effective date.
This bill establishes a per diem reimbursement rate of $85.77 for providers of adult medical day care services under New Jersey’s Medicaid program and other State programs. This is an increase from the per diem reimbursement rate of $78.50 set forth by the FY 2012 annual Appropriations Act (P.L.2011, c.85). The per diem reimbursement rate of $85.77 shall also represent the State published rate for reimbursement of providers of adult medical day care services by managed care organizations operating under the Medicaid program.