New Jersey § 30:4d-8

§ 30:4d-8.

a. A managed care organization that has contracted with the department may voluntarily

seek participation in the demonstration project by notifying the Medicaid ACO of its

desire to participate. The ACO shall submit a separate Medicaid managed care organization gainsharing plan

meeting the requirements of section 5 of this act 1 to the department for review and approval. The Medicaid managed care organization gainsharing plan may be identical to the

gainsharing plan approved for use in connection with the Medicaid fee-for-service

program, or may contain variations with respect to the manner in which health outcomes,

quality, care coordination, and access are to be improved and the manner in which

cost savings are achieved and distributed as gainsharing payments, but the managed

care organization gainsharing plan shall not affect the calculation or distribution

of shared savings pursuant to the approved gainsharing plan applicable to the Medicaid

fee-for-service program or the calculation or distribution of shared savings pursuant

to any other approved gainsharing plan used by the ACO. b. A Medicaid managed care organization may withdraw from participation after one

year by notifying the department in writing of its desire to withdraw. c. Nothing in this act shall: (1) alter or limit the obligations of a Medicaid managed care organization participating

in the demonstration project pursuant to an approved gainsharing plan to comply with

State and federal law applicable to the Medicaid managed care organization; or (2) preclude an ACO from expanding its operations to include participation with new

health care providers located within the ACO's designated area. 1

L.2011, c. 114 (N.J.S.A. § 30:4D-8.5)