This bill amends existing law to establish minimum Medicaid reimbursement rates for structured day program services provided to beneficiaries eligible for brain injury services. The current law primarily addresses community residential services, but this bill expands the scope to include structured day program services. Specifically, it mandates that the reimbursement rate for these services, which is currently set at $3.65 for every 15 minutes, be adjusted to match the average reimbursement rates for Day Habilitation Services Tiers D and E, which is currently $9.09 for every 15 minutes.

Additionally, the bill outlines the definitions of "brain injury service" and "brain injury service provider," ensuring clarity in the types of services covered and the entities authorized to provide them. The Commissioner of Human Services is tasked with adopting necessary rules and regulations to implement the provisions of this act. The bill is set to take effect 30 days after enactment and will apply to services provided on or after that date, as well as any Medicaid managed care contracts executed or renewed thereafter.

Statutes affected:
Introduced: 30:4D-7