NJ A3623

Mandates the Division of Medical Assistance and Health Services to create an incentive-based value payment system for home health agencies and health care service firms serving NJ FamilyCare recipients enrolled in Fully Integrated Dual Eligible Special Needs Plans

Ranks participating agencies/firms based on performance in nine "Outcome and Assessment Information Set" measures including hospitalization rates, emergency care incidents, patient bathing, ambulation, transfers, medication management, and adverse events

Appropriates up to $10 million for the program, with 60% distributed to agencies ranked in the top 20% for absolute performance and 40% to those in the top 20% for improvement relative to baseline year

Requires participating agencies to designate a single health care professional per patient to coordinate care, develop post-discharge protocols, and establish medication reconciliation procedures

Establishes an 8-member Home Health Services Incentive-Based Value Payment System Advisory Board appointed by the Governor to provide regulatory recommendations within six months, with annual third-party audits required starting two years after enactment