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Title: 30 - INSTITUTIONS AND AGENCIES
Chapter: 4D -
30:4d-2: Declaration of purpose
30:4d-2.1: Findings, declarations
30:4d-3a: "Invalid coach service" deemed to mean "mobility assistance vehicle service"
30:4d-3b: Establishment of enrollment simplification practices.
30:4d-3d: Definitions, Medicaid eligibility redetermination.
30:4d-4: Division of medical assistance and health services
30:4d-5: Medical assistance program
30:4d-6: Basic medical care and services.
30:4d-6a: $35 monthly personal needs allowance
30:4d-6c: Continued Medicaid eligibility
30:4d-6d: Third party, certain; primary payer
30:4d-6e: Uninsured, ineligible persons may purchase health care coverage
30:4d-6f: Eligibility of aliens for medical assistance.
30:4d-6g: Findings, declarations relative to emergency care.
30:4d-6h: Definitions relative to emergency care.
30:4d-6i: Non-participating hospital, payment for emergency treatment for Medicaid recipient.
30:4d-6k: State Medicaid, NJ FamilyCare programs to provide coverage, payment
30:4d-6l: Enrollment in Medicaid for medical parolee.
30:4d-6m: Provision of benefits for certain treatments for substance use disorder.
30:4d-6o: Provision of breastfeeding support through Medicaid.
30:4d-6q: Medicaid, NJ FamilyCare, opioid antidote coverage.
30:4d-6r: Medicaid to cover newborn home nurse visitation.
30:4d-6s: State Medicaid program, coverage for family planning services.
30:4d-6t: Remote participation in certain meetings, eligible Medicaid recipients, authorization.
30:4d-6x: Commissioner of Human Services, State plan amendments, waivers, apply as may be necessary.
30:4d-6.1: Abortions; payment of claims
30:4d-6.4: Minimum requirements, liability insurance, personnel; rules, regulations.
30:4d-6.5: Inapplicability of act to services by volunteer first aid, rescue and ambulance squads
30:4d-6.6: Rules and regulations; application of Medical Assistance and Health Services Act
30:4d-6.8: Period of maintenance of bed for eligible resident; certification for payment
30:4d-6.9: Inability of discharged resident to return within period; priority for next available bed
30:4d-6.10: Conditions for reimbursement to providers; educational materials; terms defined.
30:4d-7: Duties of commissioner.
30:4d-7a: County welfare agency to provide adequate employees to determine Medicaid eligibility
30:4d-7b: Preparation of five-year plan for developing Statewide network of managed care providers
30:4d-7c: Submission of plan to enroll Medicaid recipients by health maintenance organizations
30:4d-7d: Report by commissioner
30:4d-7f: Access fees charged by fiscal agent; establishment; use
30:4d-7g: Findings, declarations relative to pediatric rehabilitation hospitals.
30:4d-7h: Reimbursement by State Medicaid program, rates; other costs.
30:4d-7i: Exemption from close proximity requirements, notification as to off-site location.
30:4d-7k: Definitions relative to reimbursement for family planning services.
30:4d-7l: Department to facilitate implementation of C.30:4D-7k.
30:4d-7m: Certain HMOs, changes in certain reimbursement rates; procedure.
30:4d-7n: Hourly reimbursement rate for Medicaid personal care services
30:4d-7p: Medicaid reimbursement for certain emergency services.
30:4d-7s: Definitions relative to "The County Option Hospital Fee Pilot Program Act."
30:4d-7t: "The County Option Hospital Fee Pilot Program."
30:4d-7.2: Lien against recovery sought from estate of recipient, "estate" defined
30:4d-7u: Transfer of funds to commissioner, uses; fee.
30:4d-7.2a: Encumbrances, recovery limited against certain estates.
30:4d-7w: Application by commissioner, approval prior to collection of fee.
30:4d-7.3: Form; liens and certificates of debt
30:4d-7y: Perinatal Risk Assessment form for certain pregnant women.
30:4d-7z: Submission of form to division.
30:4d-7bb: Rules, regulations.
30:4d-7cc: Legislative approval of reimbursement rate increases.
30:4d-7dd: Risk reduction model to prescription drug services, third party contract.
30:4d-7ee: Pharmacy benefits management services, information disclosure
30:4d-7ff: Amendment of the Medicaid managed care organization contract provisions.
30:4d-7gg: Rules, regulations.
30:4d-7hh: Per diem reimbursement rate compared to established State Medicaid fee-for-service rate.
30:4d-7ii: Restricting modification, termination of existing provider network contract.
30:4d-7jj: Findings, declarations.
30:4d-7ll.4: State plan amendments, waivers.
30:4d-7nn: State plan amendments, waivers, provisions, implementation.
30:4d-7oo: Per diem reimbursement rate, pediatric medical day care services, on-site.
30:4d-7pp: State plan amendments, waivers, provisions, implementation.
30:4d-7rr: State plan amendments, waivers, apply, Commissioner, Human Services.
30:4d-7.4: Filing liens; attachment to property
30:4d-7.5: Property held in trust; attachment of lien
30:4d-7.6: County clerk; register of deeds; recording liens and certificates of debt
30:4d-7.7: Compromise, settlement or waiver of lien; discharge of lien
30:4d-7.8: Action to determine validity of lien; deposit and bond; discharge prior to adjudication
30:4d-8: Claim payment method.
30:4d-8.2: Definitions relative to a Medicaid ACO.
30:4d-8.3: Establishment of three-year Medicaid ACO Demonstration Project.
30:4d-8.4: Applications for certification as a Medicaid ACO.
30:4d-8.5: Eligibility to receive, distribute gainsharing payments.
30:4d-8.6: Remission of payment to ACO.
30:4d-8.7: Voluntary participation in demonstration project.
30:4d-8.8: Duties of the department; authorization to seek grants.
30:4d-8.10: Application for State plan amendments, waivers.
30:4d-8.11: Construction of act.
30:4d-8.12: Continuation of payments for certain services.
30:4d-8.13: Certain licensure requirements waived.
30:4d-8.14: Report to Governor, Legislature.
30:4d-8.15: Rules, regulations.
30:4d-8.16: Findings, declarations relative to the establishment of a Regional Health Hub Program.
30:4d-8.17: Definitions relative to Regional Health Hubs.
30:4d-8.18: Regional Health Hub Program.
30:4d-8.19: Designation, delineation of boundaries.
30:4d-8.20: Revocation of status.
30:4d-8.21: Mandatory activities.
30:4d-8.22: Submission of annual proposal.
30:4d-8.23: Funding for Regional Health Hub.
30:4d-8.24: Health information platform.
30:4d-8.25: Consultations relative to pilot program.
30:4d-8.26: Application for amendments, waivers.
30:4d-8.27: Rules, regulations.
30:4d-9: Required contents of solicited bids and contracts
30:4d-9.2: Medicaid to not provide coverage for certain early elective deliveries.
30:4d-10: Review of sealed bids; report and recommendation; considerations
30:4d-11: Approval or disapproval of lowest responsible bid; direction of payment
30:4d-13: Enrollment fees or premium charges
30:4d-14: Preparation of comprehensive medical plan
30:4d-15: Eligibility determination
30:4d-16: Provision of funds by state
30:4d-17a: Additional action by Attorney General.
30:4d-17b: Construction of act.
30:4d-17.2: Enforcement of commissioner's decisions; orders by civil action
30:4d-17.3: Criminal, civil violations
30:4d-17.4: Reimbursement for retroactive eligibility
30:4d-17.5: Adjusted reimbursement rates
30:4d-17.6: Withdrawal as Medicaid provider
30:4d-17.7: $13 million contingency account
30:4d-17.8: Posting, distribution of law
30:4d-17.10: Findings, declarations
30:4d-17.12: Nursing Home Preadmission Screening Program
30:4d-17.13: Responsibility for preadmission screening
30:4d-17.14: Procedures for preadmission screening
30:4d-17.15: Rules, regulations
30:4d-17.17a: Drug Utilization Review Board.
30:4d-17.18: Responsibilities of department.
30:4d-17.18a: Rules, regulations.
30:4d-17.19: HMOs, certain, to contract for services provided at certain Newark schools
30:4d-17.20: Written informed parental consent
30:4d-17.21: Approval as provider of psychological services
30:4d-17.22: Compliance with licensure, Medicaid requirements; authorization
30:4d-17.24: Findings, declarations relative to long-term care for Medicaid recipients.
30:4d-17.25: Definitions relative to long-term care for Medicaid recipients.
30:4d-17.27: Duties of commissioner relative to report on budget, management plan.
30:4d-17.28: Duties of commissioner relative to funding parity, coordination, assessment instrument.
30:4d-17.29: Medicaid Long-Term Care Funding Advisory Council.
30:4d-17.30: Waiver of federal requirements.
30:4d-17.31: Tracking of expenditures.
30:4d-17.32: Inclusion of budget line for Medicaid long-term care expenditures.
30:4d-17.33: Medicaid medical home demonstration project; terms defined.
30:4d-17.34: Annual evaluation.
30:4d-17.35: Application for plan amendments, waivers.
30:4d-17.37: Rules, regulations.
30:4d-17.38: Monitoring of long-term care services.
30:4d-17.39: Medicaid home visitation demonstration project.
30:4d-17.40: Application for amendments, waivers.
30:4d-17.41: Rules, regulations.
30:4d-18: Reporting and oversight
30:4d-19.1: "New Jersey Medical Assistance and Health Services Program" administrators, duties
30:4d-19.2: Findings, declarations relative to intergovernmental transfer program under Medicaid
30:4d-19.3: Definitions relative to intergovernmental transfer program under Medicaid.
30:4d-19.4: Intergovernmental transfer program established.
30:4d-20: Program; establishment
30:4d-21: Pharmaceutical assistance eligibility
30:4d-21.2: Reparations to Japanese Americans not counted as income for PAAD eligibility
30:4d-21.4: PAAD recipients, notification as to error in estimated annual income.
30:4d-21.5: Automatic enrollment in certain pharmaceutical assistance programs.
30:4d-22: Copayment; restrictions; definitions
30:4d-22.1: Pharmacy payment condition
30:4d-22.2: "Prescription drugs," syringes, needles included; certain
30:4d-23: Prescription drug costs; payment under other plan or insurance; effect on eligibility
30:4d-25: Legislative findings and declarations
30:4d-26: Prescription; inclusion of name and address or identification number
30:4d-27: Notice of penalties on identification cards
30:4d-28: Report to Governor and legislature
30:4d-29: List of maximum quantity of drug to be dispensed per prescription
30:4d-33: Violations; penalties
30:4d-34: Reimbursement for costs of prescription drugs; application and proof of expenditure
30:4d-35: Notice of availability and application forms; supplying to eligible persons
30:4d-35.2: Coverage limited to manufacturers providing rebates
30:4d-35.3: "Pharmaceutical Assistance to the Aged and Disabled Rebate Fund" established
30:4d-35.4: Rules, regulations
30:4d-36: Hearing aid assistance
30:4d-38: Pharmaceutical assistance recipients eligible
30:4d-40: Payment system; eligibility determination
30:4d-42: Casino revenue funding
30:4d-44: Definitions regarding the "Senior Gold Prescription Discount Act."
30:4d-45: "Senior Gold Prescription Discount Program."
30:4d-46: Report to Governor, Legislature
30:4d-47: Violations of act; program identification cards
30:4d-48: New Jersey EASE program, provide information on prescription program
30:4d-48.1: Senior Gold prescription program information displayed on tax return instructions.
30:4d-49: Funding of Senior Gold Prescription Discount Program
30:4d-51: Conditions on expending funds.
30:4d-52: Rebates to DHS for program.
30:4d-54: Findings, declarations relative to the Office of Medicaid Inspector General.
30:4d-55: Definitions relative to the Office of the Medicaid Inspector General.
30:4d-57: Functions, duties, powers, responsibilities of Medicaid Inspector General.
30:4d-58: Additional authority of the Medicaid Inspector General.
30:4d-59: Transfer of certain functions, powers, employees.
30:4d-60: Reports, recommendations.
30:4d-61: Confidentiality of information.
30:4d-62: "Medicaid Fraud Control Fund"; use.
30:4d-64: Annual appropriation, minimum required.
30:4d-65: Findings, declarations relative to the "iPHD Project."
30:4d-66: Definitions relative to the "iPHD Project."
30:4d-67: iPHD project governing board.
30:4d-68: Establishment of operation iPHD project.
30:4d-69: Oversight of the iPHD project.
30:4d-71: Department to facilitate implementation of C.30:4D-7k.
30:4d-72: Access to data, agreement.