5-Year Medicaid Plan Draft Released by DHS

The state’s plan directs funding for critical programs.

Update:  The deadline for written public comments accepted by DHS was October 11, 2021.

The Department of Human Services’ (DHS) Division of Medical Assistance and Health Services (DMAHS) released a draft proposal of the “NJ Family Care Comprehensive Demonstration,” known as the 1115 waiver that they plan to submit to CMS for approval this fall. The current waiver is set to expire on June 30, 2022, and the proposed draft would extend the waiver through the next five years.

The 1115 waiver is a contract between the state and federal government that brings federal Medicaid funding to New Jersey for residential, day, and other services for adults and home-based services for children. The draft renewal extends and modifies several existing services for children and adults served by the Children’s System of Care (CSOC) and the Division of Developmental Disabilities (DDD). Some modifications in the draft proposal are as follows:

CSOC

• Increases Medicaid eligibility for youth with IDD
• Proposes a new Autism Adjunct Services Pilot

DDD

• Maintains eligibility for the Supports Program for those living in a licensed setting
• Expands eligibility to beneficiaries who are age 18 and older and are outside their educational entitlement
• Expands eligibility to beneficiaries who are age 18 and living in a CSOC residential setting
• Provides Support Coordination services to up to 120 days prior to enrollment in the Supports Program and Community Care Program
• Allows “Community-Based Supports” in the Supports Program and “Individual Supports” in the Community Care Program to be delivered in the hospital during an acute inpatient hospital stay

Written public comments are being accepted by DHS up to the close of business on October 11, 2021. Comments can be sent to:

Email: DMAHS.CMWcomments@dhs.nj.gov

Mail:
Margaret Rose
Division of Medical Assistance and Health Services
Office of Legal and Regulatory Affairs
P.O. Box 712, Mail Code #26
Trenton, New Jersey 08625-0712

Fax: 609.588.7343

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