LEGAL NOTICE STATE OF NEW JERSEY DEPARTMENT OF HEALTH AND SENIOR SERVICES DEPARTMENT OF HUMAN SERVICES PROVIDER REIMBURSEMENT Special Care Nursing Facilities Per Diem Rates TAKE NOTICE that the New Jersey Department of Health and Senior Services, pursuant to the Reorganization Plan 001-1996, in coordination with the Department of Human Services (DHS), Division of Medical Assistance and Health Services, intends to submit State Plan Amendments to the Centers for Medicare & Medicaid Services in order to implement proposed State Fiscal Year (SFY) 2012 budget provisions. This Notice is intended to satisfy the requirements of Federal law and regulations, specifically 42 U.S.C. § 1396a(a)(13) and 42 CFR 447.205. If this proposal is approved as part of the SFY 2012 Appropriations Act, then Medicaid per diem reimbursement rates for Special Care Nursing Facilities (SCNFs) for SFY 2012 shall be adjusted so that the amount included in the rate for operating and administrative costs, as determined through the calculation pursuant to N.J.A.C. 8:85-3.7(e) utilizing the most recently verified SCNF cost report data, is the same amount as paid to non-county nursing facilities, other than SCNFs, for the Operating and Administrative Price of the per diem reimbursement rate up to a maximum adjustment of $41.24 per day. The reason for the proposed changes is to save New Jersey Medicaid program funds, and the changes are expected to decrease expenditures by approximately $9.3 million in total State and Federal reimbursement during SFY 2012 (July 1, 2011-June 30, 2012) in comparison to the amount expected to be expended if the initiative is not adopted as part of the SFY 2012 budget. A copy of this Notice is available for public review at all Offices of the Area Agency on Aging that are situated in all twenty-one counties, as well as at the local Medical Assistance Customer Centers, County Welfare Agencies, and the DHS website at http://www.state.nj.us/humanservices/providers/grants/public/index.html. Comments or inquiries must be submitted in writing within 30 days of the date of this notice to: Kathleen Mason Assistant Commissioner Department of Health and Senior Services PO Box 715 Trenton, New Jersey 08625-0715 Printer Fee: $43.89 #0090657650 Pub Date: June 27, 2011

Posted in legal on Tuesday, November 20, 2012 11:41 am.

Listing ID: 30d3c595-ef62-5c14-b849-f77b8839654f