News & Analysis as of

Medicaid › New Jersey

Medicaid is a partnership program between states and the federal government to provide healthcare coverage for lower income individuals, people with disabilities, older people, and certain families with... more +
Medicaid is a partnership program between states and the federal government to provide healthcare coverage for lower income individuals, people with disabilities, older people, and certain families with children.  less -
Mandelbaum Barrett PC

Aging with Dignity: Why Home and Community-Based Services (“HCBS”) Matter

Mandelbaum Barrett PC on

With federal budget cuts to Medicaid and other social service programs looming, increased attention is being placed on home and community-based (“HCBS”) Medicaid benefits. A recent opinion piece in the Los Angeles Times...more

McCarter & English, LLP

New Jersey FY 2026—Department of Health Budget Hearing

McCarter & English, LLP on

On April 3, 2025, New Jersey Department of Health (NJDOH) Commissioner Dr. Kaitlan Baston appeared before the Senate Budget and Appropriations Committee to present Governor Murphy’s proposed Fiscal Year 2026 State Budget for...more

McCarter & English, LLP

New Jersey Governor Phil Murphy’s FY2026 Budget Address: Key Highlights

McCarter & English, LLP on

In his final budget address, Governor Phil Murphy is proposing a $58.05 billion plan, with a strong emphasis on preserving funding for critical priorities while cutting spending on various programs. The address underscores...more

McCarter & English, LLP

New Jersey Regulatory Update Part I - January 2025

McCarter & English, LLP on

Below is Part I of our New Jersey Regulatory Update focusing on regulations that were finalized in 2024 by various New Jersey agencies that impact healthcare. The final regulations range from additional transparency...more

McCarter & English, LLP

New Jersey Statutory Year-End Review

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Compared to previous years, the New Jersey Legislature passed a limited number of statutes impacting health care in 2024. It was a slow start to 2024, but activity picked up in the last six months of the calendar year. Once...more

Bressler, Amery & Ross, P.C.

DOBI Bulletin No. 24-05: Expansion of Unwinding Special Enrollment Period; Six-Month Guaranteed Issue Right for Medicare...

Bressler, Amery & Ross, P.C. on

The New Jersey Department of Banking and Insurance (DOBI) issued Bulletin 24-05 on May 14, 2024 updating Bulletin 24-03 to expand the unwinding special enrollment period and clarify the guaranteed issue period for Medicare...more

McCarter & English, LLP

New Jersey Regulatory Update Part II

McCarter & English, LLP on

Part II of our New Jersey Regulatory Update further identifies proposed and adopted regulations that may impact healthcare providers, from additional financial transparency rules impacting facilities to rules attempting to...more

McCarter & English, LLP

New Jersey Regulatory Update Part I

McCarter & English, LLP on

It is that time of year for our regulatory update. Parts I and II will discuss proposed and adopted rules from the second half of last year to the first quarter of this year that impact healthcare providers in New Jersey,...more

Mandelbaum Barrett PC

Medicaid Alert: Changes to Medicaid’s Penalty Divisor Effective April 1, 2024

Mandelbaum Barrett PC on

Beginning April 1, 2024, the State of New Jersey will increase the Medicaid penalty divisor to $440.10 per day, as compared to the previous penalty divisor of $384.57 in 2023. See Medicaid Communication No. 24-03....more

Mandelbaum Barrett PC

Recent Amendments to the New Jersey False Claims Act

Mandelbaum Barrett PC on

Effective June 30, 2023, the New Jersey Legislature amended the New Jersey False Claims Act (“NJFCA” or “Act”) to align it more closely with the federal False Claims Act (‘FFCA”) and, thus, make New Jersey eligible for a 10%...more

Mandelbaum Barrett PC

Elder Law and Special Needs Newsletter: February 2024 Issue

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Our February Elder Law and Special Needs newsletter is now available! In this issue, our attorneys delve into timely topics such as recent legislative developments in New Jersey. Specifically, we explore new laws designed to...more

Rivkin Radler LLP

Behavioral Health Provider Ordered to Repay $1.1 Million to NJ Medicaid Program

Rivkin Radler LLP on

An audit by the New Jersey Office of the State Comptroller (OSC) found that John Gore, a licensed drug and alcohol counselor, improperly billed and received over $1 million in Medicaid payments for services provided between...more

Flaster Greenberg PC

Getting a Spousal Waiver for Medicaid Isn’t as Easy as You May Think in New Jersey 

Flaster Greenberg PC on

This blog post is intended to help educate your family regarding the limited instances in which a spousal waiver may be available and help guide you through the tedious process of obtaining one in a suitable case. The...more

McDermott Will & Emery

A Renewed Focus on Telehealth in New Jersey

McDermott Will & Emery on

New Jersey governing boards for dentistry, counseling, respiratory care and occupational therapy have introduced regulations to address licensure requirements for telehealth encounters, consistent with previous regulations...more

White and Williams LLP

Are Telehealth Laws Here to Stay? A Survey of Legislation in NJ, DE, NY, PA and MA

White and Williams LLP on

As COVID-19 vaccines continue to roll out across the county, there is uncertainty as to whether certain telehealth laws that significantly impacted healthcare providers, payors and patients during the public health emergency...more

Greenbaum, Rowe, Smith & Davis LLP

Governor Murphy Announces Recommendations of Report of New Jersey’s Long-Term Care Industry

Greenbaum, Rowe, Smith & Davis LLP on

Following a study of the long-term care (LTC) industry, New Jersey Governor Phil Murphy recently announced the release of a report with a series of recommendations and proposed changes to be implemented at LTC facilities...more

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