Now Law: Schaer & Benson Bill Establishing Minimum Medicaid Reimbursement Rate for Adult Medical Day Care Services

To establish a minimum amount that organizations must be reimbursed for providing adult medical day care services, a bill sponsored by Assembly Democrats Gary Schaer and Daniel Benson requiring the reimbursement rate for these organizations within the Medicaid program to be no less than the State Medicaid fee-for-service (FFS) rate was signed into law on Tuesday.

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 law (formerly bill A-4238) will 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 becoming law, Assembly sponsors 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.”