New Jersey would review Medicaid long-term care and rate care companies

The state Medicaid division would review the program and then require care companies to make changes based on its findings. This covers companies managing New Jersey's Medicaid long-term care program and its members, especially nursing home residents. Companies would lower caseloads for nursing home residents, visit them more often, ask about their care, and review their needs and wishes each year. They would use dedicated teams for difficult moves. A member would move to community care only when medically appropriate and wanted. If enacted, the review requirement would take effect immediately. The care changes would follow the review. The division would report within 18 months, and this section would expire after the report.

The state Medicaid division would post a public report card for each care company on its website. This covers companies managing New Jersey's Medicaid long-term care program. The cards would show member counts and departures by care setting, service quality and access, and available member feedback. The same webpage would include state reports about the program. If enacted, the report card requirement would take effect immediately. The division would update each card once a year.