A 4863 New Jersey General Assembly · 2024-2025 Regular Session

Requires NJ FamilyCare payment for multiple medical encounters per day for enrollee at federally qualified health center.

This bill requires NJ FamilyCare to reimburse for multiple medical visits with different specialty providers at a federally qualified health center (FQHC) on the same day. It directly affects NJ FamilyCare enrollees who need same-day specialist care at FQHCs, which serve medically underserved communities. The key provision mandates that the referring provider must document medical necessity for each visit, and each encounter must involve a different specialty provider. The bill explicitly states it cannot override federal Medicaid rules or existing state reimbursement policies. It aims to align NJ FamilyCare payment practices with current regulatory exceptions for multiple same-day visits under specific documented circumstances.
Bill status in committee 1 of 4 stages cleared
Introduction
Sep 2024
Committee Review
Floor Vote
Governor
Introduced Sep 23, 2024 Last action Dec 16, 2024
Floor votes

How they voted

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Full legislative history

Actions timeline

Total actions
2
Key actions
0
Committee
1
Dec 16, 2024
Committee
Reported and Referred to Assembly Appropriations Committee
lower
Sep 23, 2024
Introduced
Introduced in the Assembly, Referred to Assembly Health Committee
lower
3 primary · 2 co-sponsors

Sponsors