Bill Text: NJ S3690 | 2018-2019 | Regular Session | Introduced
Bill Title: Requires DOH to establish system of reconciliation for provider agencies within Early Intervention Program.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Introduced - Dead) 2019-05-16 - Introduced in the Senate, Referred to Senate Health, Human Services and Senior Citizens Committee [S3690 Detail]
Download: New_Jersey-2018-S3690-Introduced.html
Sponsored by:
Senator JOSEPH P. CRYAN
District 20 (Union)
SYNOPSIS
Requires DOH to establish system of reconciliation for provider agencies within Early Intervention Program.
CURRENT VERSION OF TEXT
As introduced.
An Act concerning a system of reconciliation for early intervention service provider agencies and supplementing P.L.1993, c.309.
Be It Enacted by the Senate and General Assembly of the State of New Jersey:
1. The Department of Health shall establish a system of reconciliation between any advanced payments granted to a provider agency rendering early intervention services within the Early Intervention Program, established pursuant to section 2 of P.L.1993, c.309 (C. 26:1A-36.7), and any unreimbursed claims for services rendered by the same provider agency, provided that the claims are for eligible services and submitted in accordance with the department's procedures. The department shall issue reconciliation statements annually to provider agencies, or at the request of a provider agency. The reconciliation statement shall include all advanced payments and unreimbursed claims that are outstanding as of 30 days prior to the issuance of the statement. The department or the provider, whichever is applicable, shall submit the reconciliation payment to the receiving entity within 30 days from the date on which the reconciliation statement was issued. The department shall establish a process by which provider agencies may appeal the department's decision issued on the reconciliation statement.
2. This act shall take effect immediately.
STATEMENT
This bill requires the Department of Health to establish a system of reconciliation between any advanced payments granted to a provider agency rendering early intervention services within the Early Intervention Program, established pursuant to section 2 of P.L.1993, c.309 (C. 26:1A-36.7), and any unreimbursed claims for services rendered by the same provider agency, provided that the claims are for eligible services and submitted in accordance with the department's procedures. Under the bill, the department is to issue reconciliation statements to provider agencies annually, or at the request of a provider agency, and the statement is required to include all advanced payments and unreimbursed claims that are outstanding as of 30 days prior to the issuance of the statement. The department or the provider, whichever is applicable, is required to submit the reconciliation payment to the receiving entity within 30 days from the date on which the reconciliation statement was issued. Finally, the department is required to establish a process by which provider agencies may appeal the department's decision issued on the reconciliation statement.
