The bill mandates that the NJ FamilyCare program reimburse licensed clinical pharmacists for providing comprehensive medication management (CMM) services to medically complex pediatric patients. These services include thorough assessments of medications, development of patient-specific action plans, ongoing monitoring, and follow-up consultations to ensure treatment efficacy and safety. The bill also directs the Division of Medical Assistance and Health Services to enter into value-based contracts with clinical pharmacists and establishes a quality assurance program to evaluate the effectiveness of these services.
Additionally, the bill amends the New Jersey Pharmacy Practice Act by removing the requirement for licensed clinical pharmacists to have a written agreement with a physician to provide CMM services. It clarifies that the regulations governing collaborative drug therapy management do not apply to these services. The bill introduces new definitions for "clinical pharmacist" and "comprehensive medication management services," and it requires the establishment of educational and credentialing standards for pharmacists. Furthermore, it mandates the Commissioner of Human Services to seek necessary state plan amendments for federal reimbursement related to these services.
Statutes affected: Introduced: 30:4D-6, 45:14-48, 45:14-64