A4244

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

The bill establishes a Medicaid Managed Care Organization (MCO) Oversight Program within the Department of Human Services to ensure accessible and quality health care for Medicaid and NJ FamilyCare enrollees. It mandates MCO contractors to submit updated provider and beneficiary data quarterly. The program will impose fines of at least $50,000 for each failure to submit required information and may bar non-compliant contractors from participating for up to five years.