Bill Text: NJ A2804 | 2024-2025 | Regular Session | Amended


Bill Title: Provides DHS and State Board of Medical Examiners to develop and implement process to improve efficiency of reviewing NJ FamilyCare provider applications.

Spectrum: Partisan Bill (Democrat 7-0)

Status: (Introduced) 2024-03-14 - Reported out of Asm. Comm. with Amendments, and Referred to Assembly Regulated Professions Committee [A2804 Detail]

Download: New_Jersey-2024-A2804-Amended.html

[First Reprint]

ASSEMBLY, No. 2804

STATE OF NEW JERSEY

221st LEGISLATURE

 

PRE-FILED FOR INTRODUCTION IN THE 2024 SESSION

 


 

Sponsored by:

Assemblyman  LOUIS D. GREENWALD

District 6 (Burlington and Camden)

Assemblyman  CHRIS TULLY

District 38 (Bergen)

Assemblywoman  SHANIQUE SPEIGHT

District 29 (Essex and Hudson)

 

Co-Sponsored by:

Assemblyman Freiman, Assemblywoman Murphy, Assemblyman Wimberly, Assemblywomen Speight, Swain and Assemblyman Sampson

 

 

 

 

SYNOPSIS

     Requires DHS and State Board of Medical Examiners to develop and implement process to improve efficiency of reviewing NJ FamilyCare provider applications.

 

CURRENT VERSION OF TEXT

     As reported by the Assembly Aging and Human Services Committee on March 14, 2024, with amendments.

  


An Act concerning provider enrollment and supplementing Title 30 of the Revised Statutes.

 

     Be It Enacted by the Senate and General Assembly of the State of New Jersey:

 

     1.  (New section)  Within 365 days of the effective date of this act, the Division of Medical Assistance and Health Services in the Department of Human Services and the State Board of Medical Examiners shall develop and implement a process to improve the efficiency of reviewing NJ FamilyCare provider applications which shall include the State Board of Medical Examiners sharing 1[relevant]1 information1, as required pursuant to this section,1 with the Division of Medical Assistance and Health Services regarding physician licensure applicants who 1[indicate an intent] apply1 to enroll as NJ FamilyCare providers, such that, at a minimum:

     a.  the State Board of Medical Examiners shall 1[provide] make available to1 the Division of Medical Assistance and Health Services 1[with]1 the applicant's license number, within five days of issuing the applicant's license number.  If the applicant is 1[not approved for] denied1 licensure, the State Board of Medical Examiners shall 1[provide] notify1 the Division of Medical Assistance and Health Services 1[with the appropriate documentation]1 within five days of the 1final1 determination; and

     b.  to the extent possible and in accordance with the documentation submitted with the NJ FamilyCare provider application, the Division of Medical Assistance and Health Services shall immediately begin to process each NJ FamilyCare provider application upon receipt of the application, provided that the application contains the necessary licensure information or demonstrates that the applicant is pending licensure approval from the State Board of Medical Examiners.  Within 1[10] 151 days of receiving an applicant's license number from the State Board of Medical Examiners, the division shall notify an applicant in writing, if applicable, of any additional information or documentation required by the division to enroll the applicant as an approved NJ FamilyCare physician. 

     c.  The provisions of this act shall not be construed to alter the application requirements for State licensure or the enrollment requirements for a NJ FamilyCare provider, or to require the Division of Medical Assistance and Health Services to approve an applicant for NJ FamilyCare provider enrollment before the division has received the National Provider Identifier number for the applicant.

     d.  As used in this act, "NJ FamilyCare" means the program established pursuant to P.L.2005, c.156 (C.30:4J-8 et al.), which includes the Medicaid program and the Children's Health Insurance Program.

 

     2.  This act shall take effect immediately.

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