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Code · New Jersey · Title 30 — Probate and Guardianship Procedure · Chapter 4D

30:4D-7aaa NJ FamilyCare reimbursement rates for certain special care nursing facilities.

237 words·~1 min read·/nj/title-30/chapter-4d/30-4d-7aaa·

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1. a. Beginning January 1, 2024, the division shall reimburse a special care nursing facility, issued a certificate of need by the Department of Health as of July 1, 2023 to operate a neurologically impaired young adult unit, a base NJ FamilyCare per diem reimbursement rate that is, at a minimum, the greater of the special care nursing facility’s FY 2022 base per diem reimbursement rate or $1,100 per diem. The provision of the reimbursement rate established in this section will be contingent upon the special care nursing facility’s compliance with all applicable State and federal laws and regulations concerning licensure, patient safety, and quality of care.
b. As used in this section:
“Division” means the Division of Medical Assistance and Health Services in the Department of Human Services.
“NJ FamilyCare” means the program established pursuant to P.L.2005, c.156 (C.30:4J-8 et al.), which includes the State’s Medicaid Program and the Children’s Health Insurance Program.
“Special care nursing facility” means a nursing facility licensed pursuant to P.L.1971, c.136 (C.26:2H-1 et seq.) that is not a unit attached to, or on the same campus as, a rehabilitation or acute care hospital and is not a distinct unit within a NJ FamilyCare-certified conventional nursing facility, and which has been approved by the Department of Human Services to provide care to NJ FamilyCare recipients who require specialized nursing facility services beyond the scope of a conventional nursing facility.
L.2025, c.206, s.1.
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