Status: Enacted
Year Enacted: 2011
Establishes a Medicaid ACO Demonstration Project with the goal of increasing access to care and increasing efficiency and cost reductions through improved coordination and information sharing. Such activities will be exempt from state antitrust laws […]
Status: Enacted
Year Enacted: 2011
States that the Commissioner of Human Services shall apply for State plan amendements or waivers necessary to implement the provisions of this act and to secure federal financial participation for State Medicaid expenditures under the […]
Status: Enacted
Year Enacted: 2011
States that under the demonstration project, payments shall continue to be made to providers of services and suppliers participating in the Medicaid ACO for services provided on a fee-for-service basis in the same manner as […]
Status: Enacted
Year Enacted: 2011
States that a Medicaid ACO certified pursuant to this act shall not be required to obtain a licensure or certification from the Department of Banking and Insurance as an organized delivery system. Note: This statute […]
N.J. Rev. Stat. § 30:4D-8.14. Report to Governor and Legislature: Medical Assistance and Health Services Act – New Jersey
Status: Enacted
Year Enacted: 2011
States that upon completion of the demonstration project, the Commissioners of Human Services and Health shall report to the Governor and Legislature on the demonstration project and include in the report the findings of the […]
N.J. Rev. Stat. § 30:4D-8.15. Rules and regulations: Medical Assistance and Health Services Act – New Jersey
Status: Enacted
Year Enacted: 2011
States that the Commissioner of Human Services shall adopt rules and regulations establishing the standards for gainsharing plans submitted by Medicaid ACOs, as well as for the ongoing oversight and monitoring of the quality of […]
Status: Enacted
Year Enacted: 2011
Defines ACO, Medicaid ACO Demonstration Project, Primary care provider, among other terms. Note: This statute is effective Oct. 17, 2011 and Expires three years after adoption of regulations.
Status: Enacted
Year Enacted: 2011
States that the Department of Human Services shall establish a 3-year Medicaid ACO Demonstration Project in which nonprofit corporations may apply. Note: This statute is effective Oct. 17, 2011 and Expires three years after adoption […]
Status: Enacted
Year Enacted: 2011
States that the department will accept applications to serve as a Medicaid ACO for participation in the demonstration if the applicant meets certain requirements and shall deny applicants that do not meet the requirements, including: […]
Status: Enacted
Year Enacted: 2011
Requires a Medicaid ACO to receive approval from the department in order to receive and distribute gainsharing payments. Approval from the department is contingent on whether the gainsharing plans promote: improvements in health outcomes and […]
Status: Enacted
Year Enacted: 2011
States that the department shall remit payment of cost savings to a participating Medicaid ACO following approval by the department of the ACO’s gainsharing plan and identification of cost savings and agreement from the federal […]
Status: Enacted
Year Enacted: 2011
States that a managed care organization that has contracted with the department may voluntarily seek participation in demonstration project by notifying the Medicaid ACO of its desire to participate and shall submit a separate gainsharing […]
Status: Enacted
Year Enacted: 2011
States that the department, in consultation with the Department of Health, shall design and implement the application process for approval of participating ACOs in the demonstration project, collect data from participants, and approve a methodology […]
N.J. Rev. Stat. § 30:4D-8.9. Annual project assessment: Medical Assistance and Health Services Act – New Jersey
Status: Enacted
Year Enacted: 2011
States that the Department of Health shall evaluate the demonstration project annually to assess whether costs savings, including savings in administrative costs and due to improved health outcomes, are achieved, in addition to improvement rates […]
Status: Enacted
Year Enacted: 1989
Defines alternative payment entity, alternative payment model, alternative payment model standards, approved quality measure, health care service, hospital and physician incentive plan, among other terms.
Status: Enacted
Year Enacted: 2015
Finds that many New Jersey administrative departments currently create, maintain, receive, and transmit individually identifiable data and aggregated data sets in order to perform necessary and vital administrative functions and that the creation of a […]
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