New Jersey § 30:4d-6r

§ 30:4d-6r.

a. Notwithstanding any State law or regulation to the contrary, the Department of

Human Services shall, contingent on maintaining or receiving necessary federal approvals,

ensure that expenses incurred for services provided under the newborn home nurse visitation

program established pursuant to section 2 of P.L.2021, c. 187 ( C.26:2H-159 ) shall be provided with no cost-sharing to eligible persons under the Medicaid program,

established pursuant to P.L.1968, c. 413 ( C.30:4D-1 et seq. ). The coverage provided under this section shall: (1) provide coverage for the services provided by the newborn home nurse visitation

program established pursuant to section 2 of P.L.2021, c. 187 ( C.26:2H-159 ); (2) notify a covered person of the services provided by the newborn home nurse visitation

program, upon application by the covered person for coverage of a newborn infant; (3) ensure that the plan does not contain any provision that requires a covered person

to receive the services provided by the newborn home nurse visitation program as a

condition of coverage, or that denies or limits benefits to the covered person if

that person declines the services provided under the program; and (4) have the discretion to determine how best to reimburse for the expenses incurred

for services provided under the newborn home nurse visitation program, including,

but not limited to, utilizing: (a) a value-based payment methodology; (b) an invoice claim process; (c) a capitated payment arrangement; (d) a payment methodology that takes into account the need for an agency or organization

providing services under the program to expand its capacity to provide services and

address health disparities; or (e) any other payment arrangement agreed to by the carrier and an agency or organization

providing services under the program. b. Any copayment, coinsurance, or deductible that may be required pursuant to the

contract for services covered pursuant to subsection a. of this section shall be waived. c. The Assistant Commissioner of Human Services shall submit to the Department of

Children and Families, in a form and manner prescribed by the department, a report

on the claims submitted for services provided under the newborn home nurse visitation

program. The information contained in the report shall be used by the department to assess

the newborn home nurse visitation program pursuant to subsection a. of section 4 of P.L.2021, c. 187 ( C.26:2H-161 ). d. The benefits shall be provided to the same extent as for any other medical condition

under the contract.