This bill revises the eligibility criteria for adult medical day care services for Medicaid enrollees in New Jersey. Under the new provisions, an individual will be deemed eligible if they require assistance or supervision with at least one activity of daily living, possess a physician's letter or prescription recommending adult medical day care services, and provide an up-to-date medical history along with a current physical examination report from a physician. The bill also defines "activity of daily living" and "adult medical day care," emphasizing the importance of these services in allowing functionally or cognitively impaired adults to remain in community settings rather than being institutionalized.
The intent of the bill is to ease the current eligibility criteria, which the sponsors believe are too restrictive and prevent individuals who could benefit from adult medical day care services from accessing them. By expanding eligibility, the bill aims to increase the number of individuals who can receive necessary support services in a protective environment during the day, thereby enhancing their quality of life while allowing them to stay within their communities.