A 4583 New Jersey General Assembly · 2024-2025 Regular Session

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.

This bill requires New Jersey's Department of Human Services to review and improve the Medicaid Managed Long-Term Services and Supports (MLTSS) Program, which coordinates long-term care for Medicaid members. It mandates the state to identify barriers to transitioning nursing home residents to community settings when clinically appropriate, and to require managed care organizations (MCOs) to reduce care management caseloads, conduct regular in-person visits with nursing home residents, and annually review transition options. The bill also directs the state to create annual public report cards on the web showing MCO performance metrics - including member enrollment, disenrollment rates, service quality, and member feedback - to help Medicaid members compare MCOs. These report cards and improvements must be implemented within 18 months of the bill's effective date.
Sub-Topics: Long-Term Care
Bill status in committee 1 of 4 stages cleared
Introduction
Jun 2024
Committee Review
Floor Vote
Governor
Introduced Jun 13, 2024 Last action Jun 13, 2024
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Jun 13, 2024
Introduced
Introduced in the Assembly, Referred to Assembly Aging and Human Services Committee
lower
2 primary · 0 co-sponsors

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