This bill amends existing New Jersey law to establish a minimum Medicaid reimbursement rate for structured day program services provided to beneficiaries eligible for brain injury services. Previously, the law focused solely on community residential services. The new provision specifies that the reimbursement rate for structured day program services will be set at the average of the reimbursement rates for Day Habilitation Services Tiers D and E, which is approximately $9.38 for every 15 minutes of service. This change aims to ensure that individuals receiving treatment for brain injuries have access to adequate funding for structured day programs.

Additionally, the bill clarifies definitions related to brain injury services and providers, ensuring that the services covered include community-based, residential, day care, and home care services for both traumatic and non-traumatic brain injuries. The Commissioner of Human Services is tasked with adopting necessary rules and regulations to implement the provisions of this act. The bill will take effect 30 days after enactment and will apply to services provided and Medicaid managed care contracts executed or renewed on or after that date.

Statutes affected:
Introduced: 30:4D-7