NJ A4306

Medicaid enrollees would qualify for adult medical day care services by requiring assistance with just one activity of daily living (such as dressing, bathing, eating, or mobility), obtaining a physician's letter recommending services, and providing current medical history and physical examination records.

Activities of daily living are defined as self-care tasks including dressing, bathing, toilet use, transfer, locomotion, bed mobility, and eating.

Adult medical day care is defined as community-based group programs providing health, social, and support services for functionally or cognitively impaired adults for less than 24 hours per day.

The Commissioner of Human Services must apply for necessary Medicaid State plan amendments or waivers to implement these eligibility changes.

The bill aims to ease current eligibility criteria deemed too restrictive, expanding access to community-based care as an alternative to institutionalization.