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This Amendment corrects the State plan regarding the state's payment of Medicare Part A and B deductibles and cost-sharing on Medicare crossover claims.
Provides Targeted Support Management for individuals with an intellectual disability and individuals with autism who are eligible for Medical Assistance and who have been determined eligible for an Intermediate Care Facility for Other Related Conditions (ICF/ORC).
Updates the methodology NJ uses to calculate the amount would otherwise paid (A WOP) for Program for All-Inclusive Care for the Elderly (PACE) rates to comply with NJ moving to managed care long term care (L TC).
Adds the maximum quantity of medication per prescription for maintenance medications as a 100-day (3 month) supply, and the maximum quantity of medication for contraceptives as a 12-month supply.