A 2023 New Jersey General Assembly · 2026-2027 Regular Session

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

This bill ensures continuous Medicaid coverage for long-term care services when beneficiaries are waiting to enroll in a managed care organization (MCO). It requires New Jersey's Medicaid program to cover eligible services - provided by assisted living residences, personal care homes, or adult family care providers - through the traditional "fee-for-service" system during the enrollment gap. Coverage begins on the date an individual is determined clinically and financially eligible for Medicaid long-term care services and ends when their MCO enrollment becomes effective. This policy, which codifies existing Medicaid practice, prevents payment interruptions for facilities serving Medicaid-eligible residents awaiting MCO enrollment.
Bill status in committee 1 of 4 stages cleared
Introduction
Jan 2026
Committee Review
Floor Vote
Governor
Introduced Jan 13, 2026 Last action Jan 13, 2026
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Jan 13, 2026
Introduced
Introduced, Referred to Assembly Aging and Human Services Committee
lower
2 primary · 0 co-sponsors

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