STATE OF NEW JERSEY
214th LEGISLATURE
PRE-FILED FOR INTRODUCTION IN THE 2010 SESSION
Sponsored by:
Assemblyman PETER J. BIONDI
District 16 (Morris and Somerset)
Assemblyman VINCENT PRIETO
District 32 (Bergen and Hudson)
Assemblywoman ELEASE EVANS
District 35 (Bergen and Passaic)
SYNOPSIS
Requires Medicaid program to increase reimbursement for ambulance services provided to Medicaid recipients who are also Medicare eligible to Medicare rate.
CURRENT VERSION OF TEXT
Introduced Pending Technical Review by Legislative Counsel
A Supplement to "An Act making appropriations for the support of the State Government and the several public purposes for the fiscal year ending June 30, 2005 and regulating the disbursement thereof," approved ......., 2004 (P.L.2004, c. ) (pending before the Legislature as the FY 2005 appropriations bill).
Be It Enacted by the Senate and General Assembly of the State of New Jersey:
1. The following language is added to p. of P.L.2004, c. (pending before the Legislature as the FY 2005 appropriations bill):
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54 DEPARTMENT OF HUMAN SERVICES 24 Special Health Services 7540 Division of Medical Assistance and Health Services GRANTS-IN-AID |
Notwithstanding the provisions of N.J.A.C.10:49-7.3 et seq. to the contrary and subject to approval by the federal government, the Division of Medical Assistance and Health Services shall increase reimbursement for ambulance services provided to Medicaid recipients who are also Medicare eligible to the applicable Medicare rate for all levels of ambulance services recognized by Medicare whether or not all levels are currently covered under Medicaid.
2. This act shall take effect immediately but shall remain inoperative until enactment of P.L.2004, c. , (pending before the Legislature as the FY 2005 appropriations bill).
STATEMENT
The FY 2004 appropriations act included budget language that directed the Medicaid program to increase reimbursement for ambulance services provided to Medicaid recipients who were also Medicare eligible, to the applicable Medicare rate.
The FY 2005 recommended budget does not include this language. As such, Medicaid reimbursement for these services will be reduced, effective July 1, 2004. This bill would restore the language that has been omitted from the FY 2005 recommended budget. Thus, Medicaid reimbursement for these ambulance services would continue to be reimbursed at the higher Medicare rate.
Eleven states have adopted policies that allow their state Medicaid programs to reimburse providers of ambulance services at the higher Medicare rate.