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2018 New Jersey Revised Statutes
Title 30 - INSTITUTIONS AND AGENCIES
Chapter 4D
- Section 30:4D-1 - Short title
- Section 30:4D-2 - Declaration of purpose
- Section 30:4D-2.1 - Findings, declarations
- Section 30:4D-3 - Definitions.
- Section 30:4D-3a - "Invalid coach service" deemed to mean "mobility assistance vehicle service"
- Section 30:4D-3b - Establishment of enrollment simplification practices.
- Section 30:4D-4 - Division of medical assistance and health services
- Section 30:4D-5 - Medical assistance program
- Section 30:4D-6 - Basic medical care and services.
- Section 30:4D-6a - $35 monthly personal needs allowance
- Section 30:4D-6c - Continued Medicaid eligibility
- Section 30:4D-6d - Third party, certain; primary payer
- Section 30:4D-6e - Uninsured, ineligible persons may purchase health care coverage
- Section 30:4D-6f - Eligibility of aliens for medical assistance.
- Section 30:4D-6g - Findings, declarations relative to emergency care.
- Section 30:4D-6h - Definitions relative to emergency care.
- Section 30:4D-6i - Non-participating hospital, payment for emergency treatment for Medicaid recipient.
- Section 30:4D-6j - Criteria for Medicaid admission to certain long-term care facilities for HIV/AIDS patients.
- Section 30:4D-6k - State Medicaid, NJ FamilyCare programs to provide coverage, payment
- Section 30:4D-6l - Enrollment in Medicaid for medical parolee.
- Section 30:4D-6.1 - Abortions; payment of claims
- Section 30:4D-6.2 - Definitions
- Section 30:4D-6.3 - Provider of mobility assistance vehicle services; conditions for approval for reimbursement
- Section 30:4D-6.4 - Minimum requirements, liability insurance, personnel; rules, regulations.
- Section 30:4D-6.5 - Inapplicability of act to services by volunteer first aid, rescue and ambulance squads
- Section 30:4D-6.6 - Rules and regulations; application of Medical Assistance and Health Services Act
- Section 30:4D-6.7 - Resident of skilled or intermediate care nursing facility discharged to general or psychiatric hospital; coverage by medical assistance program
- Section 30:4D-6.8 - Period of maintenance of bed for eligible resident; certification for payment
- Section 30:4D-6.9 - Inability of discharged resident to return within period; priority for next available bed
- Section 30:4D-7 - Duties of commissioner.
- Section 30:4D-7a - County welfare agency to provide adequate employees to determine Medicaid eligibility
- Section 30:4D-7b - Preparation of five-year plan for developing Statewide network of managed care providers
- Section 30:4D-7c - Submission of plan to enroll Medicaid recipients by health maintenance organizations
- Section 30:4D-7d - Report by commissioner
- Section 30:4D-7e - Rules, regulations
- Section 30:4D-7f - Access fees charged by fiscal agent; establishment; use
- Section 30:4D-7g - Findings, declarations relative to pediatric rehabilitation hospitals.
- Section 30:4D-7h - Reimbursement by State Medicaid program, rates; other costs.
- Section 30:4D-7i - Exemption from close proximity requirements, notification as to off-site location.
- Section 30:4D-7j - Annual cost report to receive reimbursement from Medicaid for personal care assistant services.
- Section 30:4D-7k - Definitions relative to reimbursement for family planning services.
- Section 30:4D-7l - Department to facilitate implementation of C.30:4D-7k.
- Section 30:4D-7m - Certain HMOs, changes in certain reimbursement rates; procedure.
- Section 30:4D-7n - Hourly reimbursement rate for Medicaid personal care services
- Section 30:4D-7o - Report
- Section 30:4D-7p - Medicaid reimbursement for certain emergency services.
- Section 30:4D-7q - Rules, regulations.
- Section 30:4D-7.1 - Attorney General to enforce rights against third party for recovery of medical assistance payments
- Section 30:4D-7.2 - Lien against recovery sought from estate of recipient, "estate" defined
- Section 30:4D-7.2a - Encumbrances, recovery limited against certain estates.
- Section 30:4D-7.3 - Form; liens and certificates of debt
- Section 30:4D-7.4 - Filing liens; attachment to property
- Section 30:4D-7.5 - Property held in trust; attachment of lien
- Section 30:4D-7.6 - County clerk; register of deeds; recording liens and certificates of debt
- Section 30:4D-7.7 - Compromise, settlement or waiver of lien; discharge of lien
- Section 30:4D-7.8 - Action to determine validity of lien; deposit and bond; discharge prior to adjudication
- Section 30:4D-7.9 - Payment to pharmacy for certain forged, fraudulent prescriptions under State Medicaid program.
- Section 30:4D-8 - Claim payment method.
- Section 30:4D-8.1 - Findings, declarations relative to a Medicaid Accountable Care Organization Demonstration Project.
- Section 30:4D-8.2 - Definitions relative to a Medicaid ACO.
- Section 30:4D-8.3 - Establishment of three-year Medicaid ACO Demonstration Project.
- Section 30:4D-8.4 - Applications for certification as a Medicaid ACO.
- Section 30:4D-8.5 - Eligibility to receive, distribute gainsharing payments.
- Section 30:4D-8.6 - Remission of payment to ACO.
- Section 30:4D-8.7 - Voluntary participation in demonstration project.
- Section 30:4D-8.8 - Duties of the department; authorization to seek grants.
- Section 30:4D-8.9 - Annual evaluation.
- Section 30:4D-8.10 - Application for State plan amendments, waivers.
- Section 30:4D-8.11 - Construction of act.
- Section 30:4D-8.12 - Continuation of payments for certain services.
- Section 30:4D-8.13 - Certain licensure requirements waived.
- Section 30:4D-8.14 - Report to Governor, Legislature.
- Section 30:4D-8.15 - Rules, regulations.
- Section 30:4D-9 - Required contents of solicited bids and contracts
- Section 30:4D-9.1 - Medicaid contract providers to provide coverage regardless of gender identity, expression.
- Section 30:4D-10 - Review of sealed bids; report and recommendation; considerations
- Section 30:4D-11 - Approval or disapproval of lowest responsible bid; direction of payment
- Section 30:4D-12 - Unnecessary use of care and services; methods and procedures; maintenance of records required for reimbursement
- Section 30:4D-13 - Enrollment fees or premium charges
- Section 30:4D-14 - Preparation of comprehensive medical plan
- Section 30:4D-15 - Eligibility determination
- Section 30:4D-16 - Provision of funds by state
- Section 30:4D-17 - Penalty.
- Section 30:4D-17a - Additional action by Attorney General.
- Section 30:4D-17b - Construction of act.
- Section 30:4D-17.1 - Suspension or disqualification of providers, termination of benefits to recipients; rules and regulations
- Section 30:4D-17.2 - Enforcement of commissioner's decisions; orders by civil action
- Section 30:4D-17.3 - Criminal, civil violations
- Section 30:4D-17.4 - Reimbursement for retroactive eligibility
- Section 30:4D-17.5 - Adjusted reimbursement rates
- Section 30:4D-17.6 - Withdrawal as Medicaid provider
- Section 30:4D-17.7 - $13 million contingency account
- Section 30:4D-17.8 - Posting, distribution of law
- Section 30:4D-17.9 - Annual report
- Section 30:4D-17.10 - Findings, declarations
- Section 30:4D-17.11 - Definitions
- Section 30:4D-17.12 - Nursing Home Preadmission Screening Program
- Section 30:4D-17.13 - Responsibility for preadmission screening
- Section 30:4D-17.14 - Procedures for preadmission screening
- Section 30:4D-17.15 - Rules, regulations
- Section 30:4D-17.16 - Definitions.
- Section 30:4D-17.17a - Drug Utilization Review Board.
- Section 30:4D-17.18 - Responsibilities of department.
- Section 30:4D-17.18a - Rules, regulations.
- Section 30:4D-17.19 - HMOs, certain, to contract for services provided at certain Newark schools
- Section 30:4D-17.20 - Written informed parental consent
- Section 30:4D-17.21 - Approval as provider of psychological services
- Section 30:4D-17.22 - Compliance with licensure, Medicaid requirements; authorization
- Section 30:4D-17.23 - Short title.
- Section 30:4D-17.24 - Findings, declarations relative to long-term care for Medicaid recipients.
- Section 30:4D-17.25 - Definitions relative to long-term care for Medicaid recipients.
- Section 30:4D-17.26 - Process to rebalance allocation of funding for expansion of long-term care services; pilot program, use Statewide.
- Section 30:4D-17.27 - Duties of commissioner relative to report on budget, management plan.
- Section 30:4D-17.28 - Duties of commissioner relative to funding parity, coordination, assessment instrument.
- Section 30:4D-17.29 - Medicaid Long-Term Care Funding Advisory Council.
- Section 30:4D-17.30 - Waiver of federal requirements.
- Section 30:4D-17.31 - Tracking of expenditures.
- Section 30:4D-17.32 - Inclusion of budget line for Medicaid long-term care expenditures.
- Section 30:4D-17.33 - Medicaid medical home demonstration project; terms defined.
- Section 30:4D-17.34 - Annual evaluation.
- Section 30:4D-17.35 - Application for plan amendments, waivers.
- Section 30:4D-17.36 - Annual report.
- Section 30:4D-17.37 - Rules, regulations.
- Section 30:4D-17.38 - Monitoring of long-term care services.
- Section 30:4D-17.39 - Medicaid home visitation demonstration project.
- Section 30:4D-17.40 - Application for amendments, waivers.
- Section 30:4D-17.41 - Rules, regulations.
- Section 30:4D-18 - Reporting and oversight
- Section 30:4D-19 - Severability clause
- Section 30:4D-19.1 - "New Jersey Medical Assistance and Health Services Program" administrators, duties
- Section 30:4D-19.2 - Findings, declarations relative to intergovernmental transfer program under Medicaid
- Section 30:4D-19.3 - Definitions relative to intergovernmental transfer program under Medicaid.
- Section 30:4D-19.4 - Intergovernmental transfer program established.
- Section 30:4D-19.5 - Appropriations for supplemental payments under intergovernmental transfer program; costs.
- Section 30:4D-20 - Program; establishment
- Section 30:4D-21 - Pharmaceutical assistance eligibility
- Section 30:4D-21.2 - Reparations to Japanese Americans not counted as income for PAAD eligibility
- Section 30:4D-21.3 - Holocaust reparations, restitution not considered income for determination of PAAD eligibility
- Section 30:4D-21.4 - PAAD recipients, notification as to error in estimated annual income.
- Section 30:4D-21.5 - Automatic enrollment in certain pharmaceutical assistance programs.
- Section 30:4D-22 - Copayment; restrictions; definitions
- Section 30:4D-22.1 - Pharmacy payment condition
- Section 30:4D-22.2 - "Prescription drugs," syringes, needles included; certain
- Section 30:4D-22.3 - Payment to pharmacy for certain forged, fraudulent prescriptions, program's responsibilities.
- Section 30:4D-23 - Prescription drug costs; payment under other plan or insurance; effect on eligibility
- Section 30:4D-24 - Regulations
- Section 30:4D-25 - Legislative findings and declarations
- Section 30:4D-26 - Prescription; inclusion of name and address or identification number
- Section 30:4D-27 - Notice of penalties on identification cards
- Section 30:4D-28 - Report to Governor and legislature
- Section 30:4D-29 - List of maximum quantity of drug to be dispensed per prescription
- Section 30:4D-30 - Maximum allowable cost per prescription drug; procedure to set and review on continuing basis
- Section 30:4D-31 - List of maximum quantities and procedures for setting maximum allowable cost; effective date
- Section 30:4D-32 - Annual report
- Section 30:4D-33 - Violations; penalties
- Section 30:4D-34 - Reimbursement for costs of prescription drugs; application and proof of expenditure
- Section 30:4D-35 - Notice of availability and application forms; supplying to eligible persons
- Section 30:4D-35.1 - Short title
- Section 30:4D-35.2 - Coverage limited to manufacturers providing rebates
- Section 30:4D-35.3 - "Pharmaceutical Assistance to the Aged and Disabled Rebate Fund" established
- Section 30:4D-35.4 - Rules, regulations
- Section 30:4D-36 - Hearing aid assistance
- Section 30:4D-37 - $100 maximum
- Section 30:4D-38 - Pharmaceutical assistance recipients eligible
- Section 30:4D-38.1 - "Hearing Aid Assistance to the Aged and Disabled," notification as to error in estimated annual income.
- Section 30:4D-39 - Other programs
- Section 30:4D-40 - Payment system; eligibility determination
- Section 30:4D-41 - Rules, regulations
- Section 30:4D-42 - Casino revenue funding
- Section 30:4D-43 - Short title
- Section 30:4D-44 - Definitions regarding the "Senior Gold Prescription Discount Act."
- Section 30:4D-45 - "Senior Gold Prescription Discount Program."
- Section 30:4D-45.1 - "Senior Gold Prescription Discount Program," notification as to error in estimated annual income.
- Section 30:4D-45.2 - Payment to pharmacy for certain forged, fraudulent prescriptions under State Medicaid program.
- Section 30:4D-46 - Report to Governor, Legislature
- Section 30:4D-47 - Violations of act; program identification cards
- Section 30:4D-48 - New Jersey EASE program, provide information on prescription program
- Section 30:4D-48.1 - Senior Gold prescription program information displayed on tax return instructions.
- Section 30:4D-49 - Funding of Senior Gold Prescription Discount Program
- Section 30:4D-50 - Rules, regulations.
- Section 30:4D-51 - Conditions on expending funds.
- Section 30:4D-52 - Rebates to DHS for program.
- Section 30:4D-53 - Short title.
- Section 30:4D-54 - Findings, declarations relative to the Office of Medicaid Inspector General.
- Section 30:4D-55 - Definitions relative to the Office of the Medicaid Inspector General.
- Section 30:4D-57 - Functions, duties, powers, responsibilities of Medicaid Inspector General.
- Section 30:4D-58 - Additional authority of the Medicaid Inspector General.
- Section 30:4D-59 - Transfer of certain functions, powers, employees.
- Section 30:4D-60 - Reports, recommendations.
- Section 30:4D-61 - Confidentiality of information.
- Section 30:4D-62 - "Medicaid Fraud Control Fund"; use.
- Section 30:4D-63 - Rules, regulations.
- Section 30:4D-64 - Annual appropriation, minimum required.
- Section 30:4D-65 - Findings, declarations relative to the "iPHD Project."
- Section 30:4D-66 - Definitions relative to the "iPHD Project."
- Section 30:4D-67 - iPHD project governing board.
- Section 30:4D-68 - Establishment of operation iPHD project.
- Section 30:4D-69 - Oversight of the iPHD project.
- Section 30:4D-70 - Annual report.
- Section 30:4D-71 - Department to facilitate implementation of C.30:4D-7k.
- Section 30:4D-72 - Access to data, agreement.
- Section 30:4D-7r - Short title.
- Section 30:4D-7v - Imposition of fee.
- Section 30:4D-7u - Transfer of funds to commissioner, uses; fee.
- Section 30:4D-7t - "The County Option Hospital Fee Pilot Program."
- Section 30:4D-7x - Rules, regulations.
- Section 30:4D-7s - Definitions relative to "The County Option Hospital Fee Pilot Program Act."
- Section 30:4D-7w - Application by commissioner, approval prior to collection of fee.
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