NJ A4265

Medicaid reimbursement rates for primary care and mental health services must equal at least 100% of Medicare Part B payment rates, effective July 1, 2023

Covered primary care services include those provided by physicians in family medicine, internal medicine, pediatrics, and OB/GYN, as well as advance practice nurses, physician assistants, and midwives

Mental health services coverage extends to licensed clinical social workers, psychologists, licensed professional counselors, marriage and family therapists, licensed clinical alcohol and drug counselors, and psychiatrists

Requirements apply to both Medicaid fee-for-service and managed care delivery systems, with a provision preventing any rate decreases from previous fiscal year levels

Commissioner of Human Services must submit a report within one year on implementation impacts, including changes in access and quality of care for Medicaid beneficiaries in underserved areas