Establishes Medicaid Managed Care Organization Oversight Program to ensure quality care for Medicaid and NJ FamilyCare enrollees.

The bill establishes a Medicaid Managed Care Organization (MCO) Oversight Program within the Division of Medical Assistance and Health Services in the Department of Human Services. This program aims to ensure accessible, quality health care for individuals enrolled in the NJ FamilyCare and Medicaid programs. The program will verify the accuracy of provider information, ensure provider eligibility, and monitor provider panel sizes. Additionally, MCO contractors must submit updated provider and beneficiary data quarterly.

Establishes Medicaid Managed Care Organization Oversight Program to ensure quality care for Medicaid and NJ FamilyCare enrollees.

The bill establishes a Medicaid Managed Care Organization (MCO) Oversight Program within the Division of Medical Assistance and Health Services in the Department of Human Services. This program aims to ensure accessible, quality health care for individuals enrolled in the NJ FamilyCare and Medicaid programs. The program will verify the accuracy of provider information, ensure provider eligibility, and monitor provider panel sizes. Additionally, MCO contractors must submit updated provider and beneficiary data quarterly.