Medicaid State Plan Amendments

This SPA continues New Jersey's graduate medical education subsidy supplemental payment at the same aggregate level as the prior fiscal year and updates the amount allocated to each qualifying hospital.

This SPA updates the individual provider payment allocations for the SFY 2024 Graduate Medical Education (GME) Supplemental Program and adds a method for redistributing overpayments.

To provide 12 months of continuous eligibility (CE) for children under the age of 19 to comply with Section 5112 of the Consolidated Appropriations Act, 2023.
 

This SPA introduces GME Trauma language into the states plan.

This amendment is Developmental Screen for Children by adding language to the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) and AR Kids-B Medicaid manuals allowing primary care providers (PCPs) to perform a developmental screening for children between the ages of forty-eight (48) and sixty (60) months.

This amendment is to remove the Targeted Case Management program for clients with poorly controlled asthma or a history of environmentally induced respiratory distress from the state plan as the program ended on July 1, 2023.

This SPA updates the state’s non-alignment alternative benefit plan (ABP) for Medicaid expansion individuals ages 21-64 to remove the WHODAS assessment scores from the 1915(i) language.

This SPA updates the state’s non-alignment alternative benefit plan (ABP) for Medicaid expansion individuals ages 19-20 to remove the WHODAS assessment scores from the 1915(i) language and to remove the PCCM service delivery model.

This Amendment provides Continuous Eligibility for Children.

The proposed amendment updates the Early Periodic Screening, Diagnosis, and Treatment (EPSDT) program fee schedule.