New Jersey 2026-2027 Regular Session

New Jersey Assembly Bill A2023

Introduced
1/13/26  

Caption

Requires Medicaid fee-for-service coverage of managed long term services and supports when beneficiary is pending enrollment in managed care organization.

Impact

This legislation will directly impact the Medicaid policy framework in New Jersey by stipulating a requirement for fee-for-service coverage for specific long-term services. By codifying existing practices established in previous Medicaid communications, it formalizes the method for ensuring availability of funding for those in assisted living arrangements during their transition to managed care. This development is expected to enhance the continuity of care for vulnerable populations, particularly the elderly or those with disabilities, who may require ongoing support while navigating Medicaid programs.

Summary

Bill A2023 seeks to mandate Medicaid fee-for-service coverage for managed long term services and supports to beneficiaries who are awaiting enrollment in a managed care organization (MCO). This is designed for individuals who have been determined eligible for Medicaid Managed Long Term Services and Supports but experience delays, which can take up to 60 days for MCO enrollment. In essence, the bill aims to bridge the coverage gap during this waiting period by ensuring that eligible services provided by assisted living facilities, comprehensive personal care homes, and adult family care providers remain funded through Medicaid's fee-for-service model until the beneficiary is formally enrolled in an MCO.

Contention

Despite the clear benefits of reducing gaps in service payments, discussions surrounding Bill A2023 may revolve around funding implications for the state budget, particularly concerning the sustainability of fee-for-service models in the broader context of Medicaid reform. Stakeholders such as state officials and organizations that manage Medicaid resources may express concerns about the administrative burden and fiscal impacts of implementing the necessary amendments and processes to align with this new requirement. Thus, while the intent of the bill aligns with improving service continuity for beneficiaries, debates will likely ensue regarding the fiscal responsibilities it imposes on the state's healthcare system.

Companion Bills

NJ S761

Carry Over Requires Medicaid fee-for-service coverage of managed long term services and supports when beneficiary is pending enrollment in managed care organization.

NJ A1409

Carry Over Requires Medicaid fee-for-service coverage of managed long term services and supports when beneficiary is pending enrollment in managed care organization.

NJ S2742

Same As Requires Medicaid fee-for-service coverage of managed long term services and supports when beneficiary is pending enrollment in managed care organization.

Similar Bills

OH HB780

Enact the Medicaid Savings Act

OH SB386

Enact the Medicaid Savings Act

OH HB130

Regards Medicaid Estate Recovery Program notification requirement

HI SR116

Urging The Governor To Determine A Course Of Action For The State, Should The Federal Government Cut Funding For Medicaid.

HI HCR187

Urging The Governor To Determine A Course Of Action For The State, Should The Federal Government Cut Funding For Medicaid.

HI HR180

Urging The Governor To Determine A Course Of Action For The State, Should The Federal Government Cut Funding For Medicaid.

HI SCR144

Urging The Governor To Determine A Course Of Action For The State, Should The Federal Government Cut Funding For Medicaid.

NJ S2742

Requires Medicaid fee-for-service coverage of managed long term services and supports when beneficiary is pending enrollment in managed care organization.