August 07, 2020

Proposed New Jersey Law Amends Long Term Care Provider Requirements for Medicaid Managed Care Organizations

In response to the COVID-19 pandemic’s impact on long term care providers, New Jersey legislators have introduced a bill package that includes proposed changes to New Jersey Medicaid Managed Care. S-2791/A-4480 would require the New Jersey Department of Human Services (DHS) to evaluate existing requirements for Medicaid managed care organizations (MCOs) to contract with any willing provider for the delivery of nursing home services. The bill requires the DHS to determine whether waivers to the “any willing provider” requirement should be permitted to allow MCOs to terminate or suspend a contract with a nursing home that has a history of licensure violations that resulted in severe adverse health consequences for facility staff and residents.