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Section 30:4D-7m - Certain HMOs, changes in certain reimbursement rates; procedure.

NJ Rev Stat § 30:4D-7m (2019) (N/A)
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30:4D-7m Certain HMOs, changes in certain reimbursement rates; procedure.

1. Notwithstanding any law, rule, or regulation to the contrary, a health maintenance organization that contracts with the Division of Medical Assistance and Health Services in the Department of Human Services to provide benefits under a managed care plan to persons who are eligible for Medicaid shall not reduce reimbursement rates for personal care assistant services or home based supportive care services, as those services are defined by regulation or in the contract with the division, under the health maintenance organization's Medicaid managed care plan, unless the health maintenance organization notifies the division, in writing, at least 90 days before the effective date of such changes. Such notice shall be accompanied by written assurance that the reduction will not reduce sufficient provider access or quality of service as required by the contract with the division.

L.2015, c.234, s.1.

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Section 30:4D-7l - Department to facilitate implementation of C.30:4D-7k.
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Section 30:4D-7n - Hourly reimbursement rate for Medicaid personal care services.