Chapter 30:4D

Section 30:4D-1 - Short title
Section 30:4D-2 - Declaration of purpose
Section 30:4D-2.1 - Findings, declarations
Section 30:4D-3 - Definitions
Section 30:4D-3a - "Invalid coach service" deemed to mean "mobility assistance vehicle service"
Section 30:4D-3b - Establishment of enrollment simplification practices
Section 30:4D-3b1 - Permanent change of station order, residency requirement, Division of Medical Assistance and Health Services; definitions
Section 30:4D-3c - Information technology platform relative to eligibility determination for Medicaid, NJ FamilyCare
Section 30:4D-3d - [See Note] Definitions, Medicaid eligibility redetermination
Section 30:4D-3d1 - Presumptive eligibility, Medicaid, home, community-based services, long-term services, supports program; definitions
Section 30:4D-3e - [See Note] Rules, regulations
Section 30:4D-4 - Division of medical assistance and health services
Section 30:4D-5 - Medical assistance program
Section 30:4D-6 - Basic medical care, services
Section 30:4D-6a - $35 monthly personal needs allowance
Section 30:4D-6c - Continued Medicaid eligibility
Section 30:4D-6d - Third party, certain; primary payer
Section 30:4D-6e - Uninsured, ineligible persons may purchase health care coverage
Section 30:4D-6f - Eligibility of aliens for medical assistance
Section 30:4D-6g - Findings, declarations relative to emergency care
Section 30:4D-6h - Definitions relative to emergency care
Section 30:4D-6i - Non-participating hospital, payment for emergency treatment for Medicaid recipient
Section 30:4D-6j - Criteria for Medicaid admission to certain long-term care facilities for HIV/AIDS patients
Section 30:4D-6k - State Medicaid, NJ FamilyCare programs to provide coverage, payment
Section 30:4D-6l - Enrollment in Medicaid for medical parolee
Section 30:4D-6m - Provision of benefits for certain treatments for substance use disorder
Section 30:4D-6n - Rules, regulations
Section 30:4D-6o - Provision of breastfeeding support through Medicaid
Section 30:4D-6p - Coverage of certain prescription refills by Medicaid, NJ FamilyCare during state of emergency
Section 30:4D-6q - Medicaid, NJ FamilyCare, opioid antidote coverage
Section 30:4D-6r - Medicaid to cover newborn home nurse visitation
Section 30:4D-6s - State Medicaid program, coverage for family planning services
Section 30:4D-6t - Remote participation in certain meetings, eligible Medicaid recipients, authorization
Section 30:4D-6u - Commissioner of Human Services, waivers, implementation, provisions, secure federal financial participation
Section 30:4D-6v - Rules, regulations
Section 30:4D-6w - Division of Medical Assistance and Health Services, managed care organization, NJ FamilyCare beneficiaries, reimbursement, claims, conditions
Section 30:4D-6x - Commissioner of Human Services, State plan amendments, waivers, apply as may be necessary
Section 30:4D-6.1 - Abortions; payment of claims
Section 30:4D-6.2 - Definitions
Section 30:4D-6.3 - Provider of mobility assistance vehicle services; conditions for approval for reimbursement
Section 30:4D-6.4 - Minimum requirements, liability insurance, personnel; rules, regulations
Section 30:4D-6.5 - Inapplicability of act to services by volunteer first aid, rescue and ambulance squads
Section 30:4D-6.6 - Rules and regulations; application of Medical Assistance and Health Services Act
Section 30:4D-6.7 - Resident of skilled or intermediate care nursing facility discharged to general or psychiatric hospital; coverage by medical assistance program
Section 30:4D-6.8 - Period of maintenance of bed for eligible resident; certification for payment
Section 30:4D-6.9 - Inability of discharged resident to return within period; priority for next available bed
Section 30:4D-6.10 - Conditions for reimbursement to providers; educational materials; terms defined
Section 30:4D-7 - Duties of commissioner
Section 30:4D-7a - County welfare agency to provide adequate employees to determine Medicaid eligibility
Section 30:4D-7b - Preparation of five-year plan for developing Statewide network of managed care providers
Section 30:4D-7c - Submission of plan to enroll Medicaid recipients by health maintenance organizations
Section 30:4D-7d - Report by commissioner
Section 30:4D-7e - Rules, regulations
Section 30:4D-7f - Access fees charged by fiscal agent; establishment; use
Section 30:4D-7g - Findings, declarations relative to pediatric rehabilitation hospitals
Section 30:4D-7h - Reimbursement by State Medicaid program, rates; other costs
Section 30:4D-7i - Exemption from close proximity requirements, notification as to off-site location
Section 30:4D-7j - Annual cost report to receive reimbursement from Medicaid for personal care assistant services
Section 30:4D-7k - Definitions relative to reimbursement for family planning services
Section 30:4D-7l - Department to facilitate implementation of C.30:4D-7k
Section 30:4D-7m - Certain HMOs, changes in certain reimbursement rates; procedure
Section 30:4D-7n - Hourly reimbursement rate for Medicaid personal care services
Section 30:4D-7o - Report
Section 30:4D-7p - Medicaid reimbursement for certain emergency services
Section 30:4D-7q - Rules, regulations
Section 30:4D-7r - Short title
Section 30:4D-7s - Definitions relative to "The County Option Hospital Fee Pilot Program Act."
Section 30:4D-7t - "County Option Hospital Fee Program."
Section 30:4D-7u - Transfer of funds to commissioner, uses; fee
Section 30:4D-7v - Imposition of fee
Section 30:4D-7w - Application by commissioner, approval prior to collection of fee
Section 30:4D-7x - Rules, regulations
Section 30:4D-7y - Perinatal Risk Assessment form for certain pregnant women
Section 30:4D-7z - Submission of form to division
Section 30:4D-7aa - Analysis of data
Section 30:4D-7bb - Rules, regulations
Section 30:4D-7cc - Legislative approval of reimbursement rate increases
Section 30:4D-7dd - Risk reduction model to prescription drug services, third party contract
Section 30:4D-7ee - Pharmacy benefits management services, information disclosure
Section 30:4D-7ff - Amendment of the Medicaid managed care organization contract provisions
Section 30:4D-7gg - Rules, regulations
Section 30:4D-7hh - Per diem reimbursement rate compared to established State Medicaid fee-for-service rate
Section 30:4D-7ii - Restricting modification, termination of existing provider network contract
Section 30:4D-7jj - Findings, declarations
Section 30:4D-7kk - Medicaid per diem, encounter reimbursement rates, eligible brain injury services, minimum requirements
Section 30:4D-7ll - State plan amendments, waivers, brain injury services, application; implementation of provisions
Section 30:4D-7ll.1 - Definitions
Section 30:4D-7ll.2 - Special care nursing facility, reimbursement, traumatic brain injury, NJ FamilyCare beneficiary
Section 30:4D-7ll.3 - Nursing facility, reimbursement, traumatic brain injury, NJ FamilyCare beneficiary, single-occupancy room
Section 30:4D-7ll.4 - State plan amendments, waivers
Section 30:4D-7mm - Assisted living residences, comprehensive personal care homes, assisted living programs, reimbursement, Medicaid beneficiaries, minimum per diem rates; definitions
Section 30:4D-7nn - State plan amendments, waivers, provisions, implementation
Section 30:4D-7oo - Per diem reimbursement rate, pediatric medical day care services, on-site
Section 30:4D-7pp - State plan amendments, waivers, provisions, implementation
Section 30:4D-7qq - Homemaker-home health aide certification program, family member; definition; report to Governor, Legislature
Section 30:4D-7rr - State plan amendments, waivers, apply, Commissioner, Human Services
Section 30:4D-7ss - [Effective on the first day of the sixth month next following any federal approval necessary to secure federal financial participation for State Medicaid expenditures under this act] Definitions
Section 30:4D-7tt - [Effective on the first day of the sixth month next following any federal approval necessary to secure federal financial participation for State Medicaid expenditures under this act] State plan amendments, waivers, application, implementation, secure financial participation
Section 30:4D-7.1 - Attorney General to enforce rights against third party for recovery of medical assistance payments
Section 30:4D-7.2 - Lien against recovery sought from estate of recipient, "estate" defined
Section 30:4D-7.2a - Encumbrances, recovery limited against certain estates
Section 30:4D-7.3 - Form; liens and certificates of debt
Section 30:4D-7.4 - Filing liens; attachment to property
Section 30:4D-7.5 - Property held in trust; attachment of lien
Section 30:4D-7.6 - County clerk; register of deeds; recording liens and certificates of debt
Section 30:4D-7.7 - Compromise, settlement or waiver of lien; discharge of lien
Section 30:4D-7.8 - Action to determine validity of lien; deposit and bond; discharge prior to adjudication
Section 30:4D-7.9 - Payment to pharmacy for certain forged, fraudulent prescriptions under State Medicaid program
Section 30:4D-8 - Claim payment method
Section 30:4D-8.1 - Findings, declarations relative to a Medicaid Accountable Care Organization Demonstration Project
Section 30:4D-8.2 - Definitions relative to a Medicaid ACO
Section 30:4D-8.20 - Revocation of status
Section 30:4D-8.21 - Mandatory activities
Section 30:4D-8.22 - Submission of annual proposal
Section 30:4D-8.23 - Funding for Regional Health Hub
Section 30:4D-8.24 - Health information platform
Section 30:4D-8.25 - Consultations relative to pilot program
Section 30:4D-8.26 - Application for amendments, waivers
Section 30:4D-8.27 - Rules, regulations
Section 30:4D-8.3 - Establishment of three-year Medicaid ACO Demonstration Project
Section 30:4D-8.4 - Applications for certification as a Medicaid ACO
Section 30:4D-8.5 - Eligibility to receive, distribute gainsharing payments
Section 30:4D-8.6 - Remission of payment to ACO
Section 30:4D-8.7 - Voluntary participation in demonstration project
Section 30:4D-8.8 - Duties of the department; authorization to seek grants
Section 30:4D-8.9 - Annual evaluation
Section 30:4D-8.10 - Application for State plan amendments, waivers
Section 30:4D-8.11 - Construction of act
Section 30:4D-8.12 - Continuation of payments for certain services
Section 30:4D-8.13 - Certain licensure requirements waived
Section 30:4D-8.14 - Report to Governor, Legislature
Section 30:4D-8.15 - Rules, regulations
Section 30:4D-8.16 - Findings, declarations relative to the establishment of a Regional Health Hub Program
Section 30:4D-8.17 - Definitions relative to Regional Health Hubs
Section 30:4D-8.18 - Regional Health Hub Program
Section 30:4D-8.19 - Designation, delineation of boundaries
Section 30:4D-9 - Required contents of solicited bids and contracts
Section 30:4D-9.1 - Medicaid contract providers to provide coverage regardless of gender identity, expression
Section 30:4D-9.2 - Medicaid to not provide coverage for certain early elective deliveries
Section 30:4D-10 - Review of sealed bids; report and recommendation; considerations
Section 30:4D-11 - Approval or disapproval of lowest responsible bid; direction of payment
Section 30:4D-12 - Unnecessary use of care and services; methods and procedures; maintenance of records required for reimbursement
Section 30:4D-13 - Enrollment fees or premium charges
Section 30:4D-14 - Preparation of comprehensive medical plan
Section 30:4D-15 - Eligibility determination
Section 30:4D-16 - Provision of funds by state
Section 30:4D-17 - Penalty
Section 30:4D-17a - Additional action by Attorney General
Section 30:4D-17b - Construction of act
Section 30:4D-17.1 - Suspension or disqualification of providers, termination of benefits to recipients; rules and regulations
Section 30:4D-17.2 - Enforcement of commissioner's decisions; orders by civil action
Section 30:4D-17.3 - Criminal, civil violations
Section 30:4D-17.4 - Reimbursement for retroactive eligibility
Section 30:4D-17.5 - Adjusted reimbursement rates
Section 30:4D-17.6 - Withdrawal as Medicaid provider
Section 30:4D-17.7 - $13 million contingency account
Section 30:4D-17.8 - Posting, distribution of law
Section 30:4D-17.9 - Annual report
Section 30:4D-17.10 - Findings, declarations
Section 30:4D-17.11 - Definitions
Section 30:4D-17.12 - Nursing Home Preadmission Screening Program
Section 30:4D-17.13 - Responsibility for preadmission screening
Section 30:4D-17.14 - Procedures for preadmission screening
Section 30:4D-17.15 - Rules, regulations
Section 30:4D-17.16 - Definitions
Section 30:4D-17.17a - Drug Utilization Review Board
Section 30:4D-17.18 - Responsibilities of department
Section 30:4D-17.18a - Rules, regulations
Section 30:4D-17.19 - HMOs, certain, to contract for services provided at certain Newark schools
Section 30:4D-17.20 - Written informed parental consent
Section 30:4D-17.21 - Approval as provider of psychological services
Section 30:4D-17.22 - Compliance with licensure, Medicaid requirements; authorization
Section 30:4D-17.23 - Short title
Section 30:4D-17.24 - Findings, declarations relative to long-term care for Medicaid recipients
Section 30:4D-17.25 - Definitions relative to long-term care for Medicaid recipients
Section 30:4D-17.26 - Process to rebalance allocation of funding for expansion of long-term care services; pilot program, use Statewide
Section 30:4D-17.27 - Duties of commissioner relative to report on budget, management plan
Section 30:4D-17.28 - Duties of commissioner relative to funding parity, coordination, assessment instrument
Section 30:4D-17.29 - Medicaid Long-Term Care Funding Advisory Council
Section 30:4D-17.30 - Waiver of federal requirements
Section 30:4D-17.31 - Tracking of expenditures
Section 30:4D-17.32 - Inclusion of budget line for Medicaid long-term care expenditures
Section 30:4D-17.33 - Medicaid medical home demonstration project; terms defined
Section 30:4D-17.34 - Annual evaluation
Section 30:4D-17.35 - Application for plan amendments, waivers
Section 30:4D-17.36 - Annual report
Section 30:4D-17.37 - Rules, regulations
Section 30:4D-17.38 - Monitoring of long-term care services
Section 30:4D-17.39 - Medicaid home visitation demonstration project
Section 30:4D-17.40 - Application for amendments, waivers
Section 30:4D-17.41 - Rules, regulations
Section 30:4D-18 - Reporting and oversight
Section 30:4D-19 - Severability clause
Section 30:4D-19.1 - "New Jersey Medical Assistance and Health Services Program" administrators, duties
Section 30:4D-19.2 - Findings, declarations relative to intergovernmental transfer program under Medicaid
Section 30:4D-19.3 - Definitions relative to intergovernmental transfer program under Medicaid
Section 30:4D-19.4 - Intergovernmental transfer program established
Section 30:4D-19.5 - Appropriations for supplemental payments under intergovernmental transfer program; costs
Section 30:4D-20 - Program; establishment
Section 30:4D-21 - Pharmaceutical assistance eligibility
Section 30:4D-21.2 - Reparations to Japanese Americans not counted as income for PAAD eligibility
Section 30:4D-21.3 - Holocaust reparations, restitution not considered income for determination of PAAD eligibility
Section 30:4D-21.4 - PAAD recipients, notification as to error in estimated annual income
Section 30:4D-21.5 - Automatic enrollment in certain pharmaceutical assistance programs
Section 30:4D-22 - Copayment; restrictions; definitions
Section 30:4D-22.1 - Pharmacy payment condition
Section 30:4D-22.2 - "Prescription drugs," syringes, needles included; certain
Section 30:4D-22.3 - Payment to pharmacy for certain forged, fraudulent prescriptions, program's responsibilities
Section 30:4D-22.4 - Community retail pharmacy practice site, display, Pharmaceutical Assistance to the Aged and Disabled information
Section 30:4D-23 - Prescription drug costs; payment under other plan or insurance; effect on eligibility
Section 30:4D-24 - Regulations
Section 30:4D-25 - Legislative findings and declarations
Section 30:4D-26 - Prescription; inclusion of name and address or identification number
Section 30:4D-27 - Notice of penalties on identification cards
Section 30:4D-28 - Report to Governor and legislature
Section 30:4D-29 - List of maximum quantity of drug to be dispensed per prescription
Section 30:4D-30 - Maximum allowable cost per prescription drug; procedure to set and review on continuing basis
Section 30:4D-31 - List of maximum quantities and procedures for setting maximum allowable cost; effective date
Section 30:4D-32 - Annual report
Section 30:4D-33 - Violations; penalties
Section 30:4D-34 - Reimbursement for costs of prescription drugs; application and proof of expenditure
Section 30:4D-35 - Notice of availability and application forms; supplying to eligible persons
Section 30:4D-35a - Pharmaceutical Assistance to the Aged and Disabled program, reimbursement, prescription drug costs, remainder
Section 30:4D-35.1 - Short title
Section 30:4D-35.2 - Coverage limited to manufacturers providing rebates
Section 30:4D-35.3 - "Pharmaceutical Assistance to the Aged and Disabled Rebate Fund" established
Section 30:4D-35.4 - Rules, regulations
Section 30:4D-36 - Hearing aid assistance
Section 30:4D-37 - $100 maximum
Section 30:4D-38 - Pharmaceutical assistance recipients eligible
Section 30:4D-38.1 - "Hearing Aid Assistance to the Aged and Disabled," notification as to error in estimated annual income
Section 30:4D-39 - Other programs
Section 30:4D-40 - Payment system; eligibility determination
Section 30:4D-41 - Rules, regulations
Section 30:4D-42 - Casino revenue funding
Section 30:4D-43 - Short title
Section 30:4D-44 - Definitions regarding the "Senior Gold Prescription Discount Act."
Section 30:4D-45 - "Senior Gold Prescription Discount Program."
Section 30:4D-45.1 - "Senior Gold Prescription Discount Program," notification as to error in estimated annual income
Section 30:4D-45.2 - Payment to pharmacy for certain forged, fraudulent prescriptions under State Medicaid program
Section 30:4D-45.3 - Community retail pharmacy practice site, display, Senior Gold Prescription Discount Program information
Section 30:4D-45a - Senior Gold Prescription Discount Program, reimbursement, prescription drug costs, remainder
Section 30:4D-46 - Report to Governor, Legislature
Section 30:4D-47 - Violations of act; program identification cards
Section 30:4D-48 - New Jersey EASE program, provide information on prescription program
Section 30:4D-48.1 - Senior Gold prescription program information displayed on tax return instructions
Section 30:4D-49 - Funding of Senior Gold Prescription Discount Program
Section 30:4D-50 - Rules, regulations
Section 30:4D-51 - Conditions on expending funds
Section 30:4D-52 - Rebates to DHS for program
Section 30:4D-53 - Short title
Section 30:4D-54 - Findings, declarations relative to the Office of Medicaid Inspector General
Section 30:4D-55 - Definitions relative to the Office of the Medicaid Inspector General
Section 30:4D-56 - [Repealed]
Section 30:4D-57 - Functions, duties, powers, responsibilities of Medicaid Inspector General
Section 30:4D-58 - Additional authority of the Medicaid Inspector General
Section 30:4D-59 - Transfer of certain functions, powers, employees
Section 30:4D-60 - Reports, recommendations
Section 30:4D-61 - Confidentiality of information
Section 30:4D-62 - "Medicaid Fraud Control Fund"; use
Section 30:4D-63 - Rules, regulations
Section 30:4D-64 - Annual appropriation, minimum required
Section 30:4D-65 - Findings, declarations relative to the "iPHD Project."
Section 30:4D-66 - Definitions relative to the "iPHD Project."
Section 30:4D-67 - iPHD project governing board
Section 30:4D-68 - Establishment of operational iPHD project
Section 30:4D-69 - Oversight of the iPHD project
Section 30:4D-70 - Annual report
Section 30:4D-71 - Application for, receipt of funding
Section 30:4D-72 - Access to data, agreement