reglab/housing_qa huggingface dataset:
NJ Rev Stat § 30:4D-17.33 (2021)
2021 New Jersey Revised Statutes|Title 30 - Institutions and Agencies|Section 30:4D-17.33 - Medicaid medical home demonstration project; terms defined.

30:4D-17.33 Medicaid medical home demonstration project; terms defined.  1. a. The Division of Medical Assistance and Health Services in the Department of Human Services, subject to federal approval and the availability of federal financial participation under Title XIX of the Social Security Act, shall establish a three-year Medicaid medical home demonstration project as provided in this act. The demonstration project shall be developed in consultation and implemented with the managed care organizations that contract with the Medicaid program to provide health care services to Medicaid recipients or with other appropriate vendors that contract with the Medicaid program to provide health care services to general public assistance recipients. b. The Medicaid program shall: (1) Consider payment methodologies that support care-coordination through multi-disciplinary teams, including payment for care of patients with chronic diseases and the elderly, and that encourage services such as: (a) patient or family education for patients with chronic diseases; (b) home-based services; (c) telephonic communication; (d) group care; (e) oral health examinations, when applicable; and (f) culturally and linguistically appropriate care. In addition, the payment system shall be structured to reward quality and improved patient outcomes; (2) Develop a system to support primary care providers in developing an organizational structure necessary to provide a medical home; and (3) Identify primary care providers for participation in the demonstration project that provide care to their patients using a medical home model, which at a minimum shall include primary care providers utilizing a multi-disciplinary team that provides patient-centered care coordination through the use of health information technology and chronic disease registries across the patient's life-span and across all domains of the health care system and the patient's community. c. Nothing in this act shall be construed to limit the choice of a Medicaid or general public assistance recipient who is participating in the medical home demonstration project to directly access a qualified health care provider for family planning services who is not participating in the demonstration project. d. Subject to the availability of federal matching funds, the Division of Medical Assistance and Health Services shall begin implementing the demonstration project no later than January 1, 2011. e. As used in this act: "General public assistance" means the Work First New Jersey General Public Assistance program established pursuant to P.L.1947, c.156 (C.44:8-107 et seq.); "Medicaid" means the Medicaid program established pursuant to P.L.1968, c.413 (C.30:4D-1 et seq.); and "Primary care provider" includes, but is not limited to, a primary care professional medical practice, a federally qualified or community health center, and a primary care outpatient clinic operated by a general hospital. L.2010, c.74, s.1.
NJ Rev Stat § 30:4D-17.34 (2021)
2021 New Jersey Revised Statutes|Title 30 - Institutions and Agencies|Section 30:4D-17.34 - Annual evaluation.

30:4D-17.34 Annual evaluation.  2. The Director of the Division of Medical Assistance and Health Services shall evaluate the demonstration project annually to assess: whether cost savings are achieved through implementation of the medical home project; the rates of health screening; and the outcomes and hospitalization rates for persons with chronic illnesses, and the hospitalization and readmission rates for persons who are frail and elderly. L.2010, c.74, s.2; amended 2017, c.131, s.119.
NJ Rev Stat § 30:4D-17.35 (2021)
2021 New Jersey Revised Statutes|Title 30 - Institutions and Agencies|Section 30:4D-17.35 - Application for plan amendments, waivers.

30:4D-17.35 Application for plan amendments, waivers.  3. The Commissioner of Human Services shall apply for such State plan amendments or waivers as may be necessary to implement the provisions of this act and to secure federal financial participation for State Medicaid expenditures under the federal Medicaid program. L.2010, c.74, s.3.
NJ Rev Stat § 30:4D-17.36 (2021)
2021 New Jersey Revised Statutes|Title 30 - Institutions and Agencies|Section 30:4D-17.36 - Annual report.

30:4D-17.36 Annual report.  4. The Commissioner of Human Services shall report annually to the Governor, and to the Legislature pursuant to section 2 of P.L.1991, c.164 (C.52:14-19.1), on the findings and recommendations of the demonstration project. L.2010, c.74, s.4.
NJ Rev Stat § 30:4D-17.37 (2021)
2021 New Jersey Revised Statutes|Title 30 - Institutions and Agencies|Section 30:4D-17.37 - Rules, regulations.

30:4D-17.37 Rules, regulations.  5. The Commissioner of Human Services shall, in accordance with the "Administrative Procedure Act," P.L.1968, c.410 (C.52:14B-1 et seq.), adopt such rules and regulations as the commissioner deems necessary to carry out the provisions of this act. L.2010, c.74, s.5.
NJ Rev Stat § 30:4D-17.38 (2021)
2021 New Jersey Revised Statutes|Title 30 - Institutions and Agencies|Section 30:4D-17.38 - Monitoring of long-term care services.

30:4D-17.38 Monitoring of long-term care services.  1. a. The Department of Human Services shall monitor the services provided to an individual receiving services under the Medicaid Managed Long Term Services and Supports section 1115 demonstration waiver, in accordance with this section. b. In the case of an individual who receives services under one of these programs through a managed care organization, the department shall annually perform a review of a sample of the number of encounters the individual has had with the managed care organization in a given month, as compared with the services authorized for the individual by the program, to help ensure efficient utilization of services from the managed care organization. c. In the case of an individual who receives services under one of these programs through a provider whose claims are processed by a third-party billing agent, the department shall require the third party-billing agent to annually perform a review of a sample of the provider's billing limits and the services provided to the individual, to help ensure that: services are provided if those services are authorized for the individual by the program; and claims are processed if those claims do not exceed the billing limits authorized for the individual by the program. L.2015, c.153, s.1.
NJ Rev Stat § 30:4D-17.39 (2021)
2021 New Jersey Revised Statutes|Title 30 - Institutions and Agencies|Section 30:4D-17.39 - Medicaid home visitation demonstration project.

30:4D-17.39 Medicaid home visitation demonstration project.  1. a. The Department of Human Services, subject to federal approval and the availability of federal financial participation under Title XIX of the Social Security Act, shall establish a three-year Medicaid home visitation demonstration project. The demonstration project shall be designed to provide ongoing health and parenting information, parent and family support, and links to essential health and social services during pregnancy, infancy, and early childhood. The demonstration project shall be developed in consultation with the Department of Children and Families and the Department of Health. b. The project shall be modeled on home visitation programs currently administered by the Department of Children and Families, the Department of Health, and the Division of Family Development in the Department of Human Services.  c. The project shall be implemented in stages, prioritizing expansion of services in counties with the highest number of births to eligible families and where current home visitation programs provide services to less than 10 percent of the eligible population.  L.2017, c.50, s.1.
NJ Rev Stat § 30:4D-17.40 (2021)
2021 New Jersey Revised Statutes|Title 30 - Institutions and Agencies|Section 30:4D-17.40 - Application for amendments, waivers.

30:4D-17.40 Application for amendments, waivers.  2. The Commissioner of Human Services shall apply for such State plan amendments or waivers as may be necessary to implement the provisions of this act and to secure federal financial participation for State Medicaid expenditures under the federal Medicaid program. L.2017, c.50, s.2.
NJ Rev Stat § 30:4D-17.41 (2021)
2021 New Jersey Revised Statutes|Title 30 - Institutions and Agencies|Section 30:4D-17.41 - Rules, regulations.

30:4D-17.41 Rules, regulations.  3. The Commissioner of Human Services, in accordance with the "Administrative Procedure Act," P.L.1968, c.410 (C.52:14B-1 et seq.), shall adopt such rules and regulations as the commissioner deems necessary to carry out the provisions of this act. L.2017, c.50, s.3.
NJ Rev Stat § 30:4D-18 (2021)
2021 New Jersey Revised Statutes|Title 30 - Institutions and Agencies|Section 30:4D-18 - Reporting and oversight

30:4D-18. Reporting and oversight  The commissioner shall report to the Governor and the Legislature, at least once each year, which report shall include a summary of its activities for the preceding year and any recommendations or suggestions for legislative consideration. The commissioner shall meet at least once a year with representatives of the statewide recognized professional societies of each of the providers of all of the medical services for the purpose of hearing suggestions on a continuing basis for the improvement of the administration and operation of this act, the commissioner shall report these suggestions to the Governor and the Legislature. The Legislature through the Senate and Assembly Standing Committees on Institutions and Welfare shall review, on a continuous basis, the development, administration and operation of the program provided for in this act. To facilitate this review and oversight, the commissioner shall submit to the committees the report provided for above, the report of the department's program for the progressive implementation of Medicaid in New Jersey and such other reports as shall be called for by the committees from time to time. Periodically during a fiscal year and at least 30 days prior to announcing any modification of eligibility requirements under a categorical program, the Commissioner of Institutions and Agencies shall specially report to the Senate and Assembly standing committees on Institutions and Welfare, outlining in detail the proposed modifications, including estimates of the impact on the case loads and costs as to the program directly affected and on other categorical programs. L.1968, c. 413, s. 18.
NJ Rev Stat § 30:4D-19 (2021)
2021 New Jersey Revised Statutes|Title 30 - Institutions and Agencies|Section 30:4D-19 - Severability clause

30:4D-19. Severability clause  If any provision of this act or the application thereof to any person or circumstance is held invalid, such invalidity shall not affect other provisions or applications of the act which can be given effect without the invalid provision or application, and to this end the provisions of this act are declared to be severable. L.1968, c. 413, s. 19.
NJ Rev Stat § 30:4D-19.2 (2021)
2021 New Jersey Revised Statutes|Title 30 - Institutions and Agencies|Section 30:4D-19.2 - Findings, declarations relative to intergovernmental transfer program under Medicaid

30:4D-19.2. Findings, declarations relative to intergovernmental transfer program under Medicaid  1. The Legislature finds and declares that: a. Federal law permits states to enhance existing federal financial participation under the Medicaid program through the use of intergovernmental transfers; b. Participation in an intergovernmental transfer program by the State and certain governmental entities will enhance the health and welfare of the citizens of New Jersey by providing additional funds for health-related services; and c. In order to secure the additional federal funds under the Medicaid program, it is the intent of this act to authorize and implement an intergovernmental transfer program. L.2000, c.28, s.1.
NJ Rev Stat § 30:4D-19.3 (2021)
2021 New Jersey Revised Statutes|Title 30 - Institutions and Agencies|Section 30:4D-19.3 - Definitions relative to intergovernmental transfer program under Medicaid.

30:4D-19.3 Definitions relative to intergovernmental transfer program under Medicaid.  2. As used in this act: "Bank" means a State or federally chartered bank, savings bank, or savings and loan association located in this State that is authorized to receive public funds and that is selected by the participating governmental entities to carry out the provisions of this act. "Intergovernmental transfer" means the transfer of money to the State account by a participating governmental entity as contemplated by an intergovernmental transfer agreement. "Intergovernmental transfer agreement" means an agreement among the State Treasurer, the Commissioners of Human Services and Health, and a participating governmental entity pertaining to participation in and implementation of the intergovernmental transfer program. "Intergovernmental transfer program" or "program" means a program to enhance federal financial participation under the Medicaid program by using intergovernmental transfers. "Medicaid" means the "New Jersey Medical Assistance and Health Services Program" established pursuant to P.L.1968, c.413 (C.30:4D-1 et seq.). "Medicaid State plan" means the plan submitted by the State to the federal Centers for Medicare & Medicaid Services in the Department of Health and Human Services, including any amendments thereto. "Participant accounts" means the accounts maintained at the bank by each participating governmental entity for the purpose of effectuating the intergovernmental transfer program. "Participating governmental entity" means any governmental entity that owns a nursing facility enrolled in the Medicaid program and qualifies for a supplemental payment under the Medicaid State plan, and which signs an intergovernmental transfer agreement. "State account" means the account maintained at the bank by the State Treasurer for the purpose of the intergovernmental transfer program. "Supplemental payment" means the Medicaid payment made by the State to a participating governmental entity for a specified fiscal year, as set forth and provided for in an intergovernmental transfer agreement. L.2000, c.28, s.2; amended 2012, c.17, s.380.
NJ Rev Stat § 30:4D-19.5 (2021)
2021 New Jersey Revised Statutes|Title 30 - Institutions and Agencies|Section 30:4D-19.5 - Appropriations for supplemental payments under intergovernmental transfer program; costs.

30:4D-19.5 Appropriations for supplemental payments under intergovernmental transfer program; costs.  4. a. There are appropriated to the Department of Human Services such sums as are determined necessary by the Director of the Division of Budget and Accounting in the Department of the Treasury to make supplemental payments in accordance with the Medicaid State plan under the intergovernmental transfer program. The sums so appropriated shall be deposited in the State account and used to make supplemental payments to the participant accounts pursuant to this subsection and as set forth in an intergovernmental transfer agreement. b. There are appropriated to the Department of Human Services and Department of the Treasury such additional sums as are determined necessary by the Director of the Division of Budget and Accounting in the Department of the Treasury to pay costs incurred by the State in connection with the execution and delivery of any agreements authorized hereunder, including the costs of professional services, attorneys, and any other costs necessary to complete the intergovernmental transfer program. L.2000, c.28, s.4; amended 2012, c.17, s.382.
NJ Rev Stat § 30:4D-20 (2021)
2021 New Jersey Revised Statutes|Title 30 - Institutions and Agencies|Section 30:4D-20 - Program; establishment

30:4D-20. Program; establishment  The commissioner shall establish a program which shall be known as "Pharmaceutical Assistance to the Aged." L.1975, c. 194, s. 1, eff. Aug. 21, 1975.
NJ Rev Stat § 30:4D-21 (2021)
2021 New Jersey Revised Statutes|Title 30 - Institutions and Agencies|Section 30:4D-21 - Pharmaceutical assistance eligibility

30:4D-21. Pharmaceutical assistance eligibility  2. a. Any resident of this State who is either a recipient of disability insurance benefits under Title II of the federal Social Security Act (42 U.S.C. s. 401 et seq.) or 65 years of age and over and whose annual income is less than $38,769 if single or, if married, whose annual income combined with that of his spouse is less than $45,270, shall be eligible for "Pharmaceutical Assistance to the Aged and Disabled" if he is not otherwise qualified for assistance under P.L.1968, c.413 (C.30:4D-1 et seq.). Annual income shall not include gain from the sale of a principal residence that is excluded from gross income pursuant to N.J.S.54A:6-9. b. (1) Except as provided in paragraph (2) of this subsection, beginning January 1, 1996 and annually thereafter, the income eligibility limits provided in subsection a. of this section shall increase by the amount of the maximum Social Security benefit cost-of-living increase for that year for single and married persons, respectively. The commissioner shall adopt the new income limits annually by regulation pursuant to the "Administrative Procedure Act," P.L.1968, c.410 (C.52:14B-1 et seq.). (2) No cost-of-living increase shall be applied under paragraph (1) of this subsection in calendar year 2022. The cost-of-living increase shall resume beginning January 1, 2023, and the income eligibility limits shall be annually increased thereafter consistent with the requirements of paragraph (1) of this subsection. L.1975,c.194,s.2; amended 1975,c.312; 1981,c.499,s.1; 1985,c.291,s.1; 1987,c.221; 1989,c.16; 1991,c.84; 1995,c.27,s.1; 2021, c.131.
NJ Rev Stat § 30:4D-21.2 (2021)
2021 New Jersey Revised Statutes|Title 30 - Institutions and Agencies|Section 30:4D-21.2 - Reparations to Japanese Americans not counted as income for PAAD eligibility

30:4D-21.2. Reparations to Japanese Americans not counted as income for PAAD eligibility  1. Funds received from the federal government pursuant to sections 105 and 106 of the "Civil Liberties Act of 1988," Pub.L.100-383 (50 U.S.C. App. s. 1989b-4 and s. 1989b-5) shall not be counted as income for the purpose of determining eligibility for the Pharmaceutical Assistance to the Aged and Disabled program established pursuant to P.L.1975, c.194 (C.30:4D-20 et seq.). L.1992,c.30.
NJ Rev Stat § 30:4D-21.3 (2021)
2021 New Jersey Revised Statutes|Title 30 - Institutions and Agencies|Section 30:4D-21.3 - Holocaust reparations, restitution not considered income for determination of PAAD eligibility

30:4D-21.3. Holocaust reparations, restitution not considered income for determination of PAAD eligibility  2. Amounts received as reparations or restitution for the loss of liberty or damage to health by the victims of National Socialist (Nazi) persecution; returns of tangible or intangible property seized, misappropriated, or lost as a result of National Socialist (Nazi) actions or policies and any cash values in replacement of such property; payments of insurance policies purchased by the victims of National Socialist (Nazi) persecution; and any accumulated or accrued interest on such amounts shall not be counted as income for the purpose of determining eligibility for the Pharmaceutical Assistance to the Aged and Disabled program established pursuant to P.L.1975, c.194 (C.30:4D-20 et seq.). L.1998,c.113,s.2.
NJ Rev Stat § 30:4D-21.4 (2021)
2021 New Jersey Revised Statutes|Title 30 - Institutions and Agencies|Section 30:4D-21.4 - PAAD recipients, notification as to error in estimated annual income.

30:4D-21.4 PAAD recipients, notification as to error in estimated annual income.  1. a. Notwithstanding the provisions of any other law to the contrary, a recipient of benefits under the "Pharmaceutical Assistance to the Aged and Disabled" program, established pursuant to P.L.1975, c.194 (C.30:4D-20 et seq.), shall notify the Department of Human Services if the recipient unintentionally errs in estimating annual income to determine eligibility for the program due to an unanticipated payment which would render the recipient ineligible for the program. Notification to the department shall be made in the time and manner prescribed by the department. b. If the department determines that the payment was unanticipated, the recipient shall reimburse the program for only those benefits that were paid by the program after the recipient received the unanticipated payment. c. If the department determines that the payment was not unanticipated, the recipient shall reimburse the program for all benefits that were paid by the program in the calendar year in which the payment was received. d. Within 30 days of receipt of a determination by the department that the payment was not unanticipated, a recipient may request a hearing, which shall be conducted pursuant to the "Administrative Procedure Act," P.L.1968, c.410 (C.52:14B-1 et seq.). e. Nothing in this section shall preclude a recipient from reapplying for benefits in the calendar year following the year in which the recipient notified the department pursuant to subsection a. of this section. L.2003, c.281, s.1; amended 2012, c.17, s.383.
NJ Rev Stat § 30:4D-21.5 (2021)
2021 New Jersey Revised Statutes|Title 30 - Institutions and Agencies|Section 30:4D-21.5 - Automatic enrollment in certain pharmaceutical assistance programs.

30:4D-21.5 Automatic enrollment in certain pharmaceutical assistance programs.  1. a. If a person who is a recipient of benefits under the "Pharmaceutical Assistance to the Aged and Disabled," or PAAD, program becomes ineligible for PAAD because the person's income exceeds the program's income eligibility limit and the person still remains eligible for the "Senior Gold Prescription Discount Program," the person shall be enrolled automatically in the "Senior Gold Prescription Discount Program." b. If a person who is a recipient of benefits under the "Senior Gold Prescription Discount Program" has a decrease in income that renders the person eligible for PAAD, the person shall automatically be enrolled in PAAD. c. The Department of Human Services shall establish one application form for use in applying for the PAAD program and the "Senior Gold Prescription Discount Program." The form shall provide for the inclusion of all information necessary to determine eligibility for both programs and advise applicants of the automatic enrollment provisions of subsections a. and b. of this section. L.2009, c.272, s.1; amended 2012, c.17, s.384.
NJ Rev Stat § 30:4D-22.1 (2021)
2021 New Jersey Revised Statutes|Title 30 - Institutions and Agencies|Section 30:4D-22.1 - Pharmacy payment condition

30:4D-22.1. Pharmacy payment condition  2. Payments to pharmacies made by the "Pharmaceutical Assistance to the Aged and Disabled" program in accordance with section 3 of P.L.1975, c.194 (C.30:4D-22) shall not be made unless, at the time of each prescription drug purchase for which a pharmacy submits a claim, the pharmacy prominently displays on the receipt provided with the drug the usual price charged to other persons in the community by the pharmacy.  L.1995,c.5,s.2; per s. 3, expired July 1, 1998.
NJ Rev Stat § 30:4D-22.2 (2021)
2021 New Jersey Revised Statutes|Title 30 - Institutions and Agencies|Section 30:4D-22.2 - "Prescription drugs," syringes, needles included; certain

30:4D-22.2. "Prescription drugs," syringes, needles included; certain  1. In addition to the "prescription drugs" defined pursuant to section 3 of P.L.1975, c.194 (C.30:4D-22), "prescription drugs" also means syringes and needles for injectable medicines used for the treatment of multiple sclerosis. L.1995,c.323,s.1.