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Chiaravalloti, Schaer & Benson Bill Establishing Minimum Medicaid Reimbursement Rate for Adult Medical Day Care Services Advances in Assembly

To establish a minimum amount organizations must be reimbursed for providing adult medical day care services, Assembly Democrats Nicholas Chiaravalloti, Gary Schaer and Daniel Benson sponsor a bill requiring the reimbursement rate for these organizations within the Medicaid program to be no less than the State Medicaid fee-for-service (FFS) rate.

Adult medical day care centers provide outpatient health, therapeutic and social services/activities for participants. The services must be ordered by a medical practitioner on behalf of eligible patients whose care is provided by qualified staff meeting New Jersey licensing requirements.

The bill (A-4238) would make the minimum daily reimbursement rate for centers providing these services no less than the state’s Medicaid FFS rate – which the state pays providers for covered services received by Medicaid beneficiaries.

Upon the measure being advanced by the Assembly Financial Institutions and Insurance Committee on Monday, Assembly sponsors Chiaravalloti (D-Hudson), Schaer (D-Bergen, Passaic) and Benson (D-Mercer, Middlesex) issued the following joint statement:


“Adult medical day care centers offer critical services to people who need care and supervision while their caretakers are unavailable. These centers provide a safe place New Jersey residents can entrust their elderly or disabled loved ones to during the day. At a minimum, these facilities should receive reimbursement from Medicaid equal to the existing fee-for-service rate.”