This bill mandates that the Division of Medical Assistance and Health Services (DMAHS) in New Jersey provide Medicaid fee-for-service (FFS) coverage for managed long-term services and supports to individuals who are eligible for the Medicaid Managed Long Term Services and Supports program but are awaiting enrollment in a managed care organization (MCO). The FFS coverage will commence on the date the individual is determined clinically and financially eligible for the program and will conclude when their enrollment in the MCO becomes effective. This provision aims to address the reimbursement challenges faced by assisted living programs during the waiting period, which can last up to 60 days.

Additionally, the bill instructs the Commissioner of Human Services to seek any necessary state plan amendments or waivers to implement these provisions and to ensure federal financial participation for state Medicaid expenditures. The bill codifies existing Medicaid policy and aims to streamline the process for beneficiaries, ensuring they receive the necessary services without interruption while transitioning to managed care. The act is set to take effect immediately upon passage.