NJ A3066

New Jersey's Department of Human Services must review the Medicaid Managed Long-Term Services and Supports (MLTSS) Program, including evaluating quality oversight measures, assessing barriers to transitioning nursing home residents to community settings, and studying successful payment models nationwide.

Managed care organizations will be required to reduce care management caseloads for nursing home residents, increase face-to-face visits, and annually review whether residents can transition to community care when clinically appropriate and desired.

The division must establish public-facing report cards on its website for each managed care organization, displaying enrollment numbers, disenrollment data, performance metrics, and member feedback to help consumers compare options.

Report cards must be updated annually and include data disaggregated by service setting (home, assisted living, community residential services, or nursing home).

A report summarizing findings and implemented improvements must be submitted to the Legislature within 18 months of the bill's effective date.