NJ FamilyCare to reimburse for multiple medical encounters per day at federally qualified health centers.

This bill allows NJ FamilyCare to reimburse for multiple medical encounters per day at federally qualified health centers for an enrollee, provided the referring provider documents the medical necessity of each referral and each encounter is with a different specialty provider. The bill defines a "specialty provider" as a licensed physician who meets certain criteria, such as being a diplomate of a specialty board approved by the American Board of Medical Specialties. The bill also ensures that NJ FamilyCare reimbursement for multiple medical encounters does not violate federal statute.

NJ FamilyCare to reimburse for multiple medical encounters per day at federally qualified health centers.

This bill allows NJ FamilyCare to reimburse for multiple medical encounters per day at federally qualified health centers for an enrollee, provided the referring provider documents the medical necessity of each referral and each encounter is with a different specialty provider. The bill defines a "specialty provider" as a licensed physician who meets certain criteria, such as being a diplomate of a specialty board approved by the American Board of Medical Specialties. The bill also ensures that NJ FamilyCare reimbursement for multiple medical encounters does not violate federal statute.