Title 30, Title 30: INSTITUTIONS AND AGENCIES

30:4D-35.4. Rules, regulations 4. Pursuant to the "Administrative Procedure Act," P.L.1968, c.410 (C.52:14B-1 et seq.), the Commissioner of Human Services shall adopt rules and regulations necessary to carry out the purposes of this act and to ensure that the rebate amounts for p…

30:4D-35a Pharmaceutical Assistance to the Aged and Disabled program, reimbursement, prescription drug costs, remainder. 4. In addition to the reimbursement required pursuant to section 1 of P.L.1979, c.27 (C.30:4D-34), any eligible person under the Pharmaceutical Assistance to t…

30:4D-36. Hearing aid assistance There is established in the Department of Human Services a program which shall be known as "Hearing Aid Assistance for the Aged and Disabled." L. 1987, c. 298, s. 1.

30:4D-37. $100 maximum A person eligible for the Hearing Aid Assistance for the Aged and Disabled Program is entitled to receive a payment of up to $100.00 in a calendar year in which a hearing aid is purchased to offset the cost of the hearing aid. For the purposes of this act, …

30:4D-38. Pharmaceutical assistance recipients eligible A person who meets the age or disability, income and residency requirements of the "Pharmaceutical Assistance to the Aged and Disabled" program, P.L.1975, c. 194 (C. 30:4D-20 et seq.), is eligible for hearing aid assistance …

30:4D-38.1 "Hearing Aid Assistance to the Aged and Disabled," notification as to error in estimated annual income. 2. a. Notwithstanding the provisions of any other law to the contrary, a recipient of benefits under the "Hearing Aid Assistance for the Aged and Disabled" program, …

30:4D-39. Other programs a. If an otherwise eligible person's hearing aid costs are covered in whole by any other State or federal government program or insurance contract, the person is not eligible for hearing aid assistance under this act. b. If an eligible person's hearing ai…

30:4D-3a. "Invalid coach service" deemed to mean "mobility assistance vehicle service" 4. Whenever the term "invalid coach service" occurs or any reference is made thereto in any law, contract or document which pertains to the Medicaid program established pursuant to P.L.1968, c.…

30:4D-3b Establishment of enrollment simplification practices. 9. No later than January 1, 2006, the Commissioner of Human Services shall, at a minimum, establish the following enrollment simplification practices for dependent children and their parents or specified caretaker rel…

30:4D-3b1 Permanent change of station order, residency requirement, Division of Medical Assistance and Health Services; definitions. 1. a. Notwithstanding any other law to the contrary, the Division of Medical Assistance and Health Services within the Department of Human Services…

30:4D-3c Information technology platform relative to eligibility determination for Medicaid, NJ FamilyCare. 1. a. The Commissioner of Human Services shall develop an information technology platform for use by the State, county welfare agencies, and State contractors for the purpo…

30:4D-3d Definitions, Medicaid eligibility redetermination. 1. a. As used in this section: "Beneficiary" means an individual eligible for medical assistance through Medicaid or NJ FamilyCare. "Commissioner" means the Commissioner of Human Services. "Division" means the Division o…

30:4D-3d1 Presumptive eligibility, Medicaid, home, community-based services, long-term services, supports program; definitions. 1. a. Within 30 months of enactment of P.L.2023, c.306 (C.30:4D-3d1), and conditional on the receipt of all necessary approvals and the securing of fede…

30:4D-3e Rules, regulations. 2. The Commissioner of Human Services shall adopt rules and regulations as shall be necessary to implement the provisions of this act, which rules and regulations shall be effective immediately upon filing with the Office of Administrative Law for a p…

30:4D-4. Division of medical assistance and health services There is hereby created in the Department of Human Services a Division of Medical Assistance and Health Services. The division shall perform those administrative and operational functions vested in the department pursuan…

30:4D-4.1 Process for reviewing NJ FamilyCare provider applications. 1. a. Within 365 days of the effective date of this act, the Division of Medical Assistance and Health Services in the Department of Human Services and the State Board of Medical Examiners shall develop and impl…

30:4D-40. Payment system; eligibility determination The Commissioner of Human Services shall by regulation establish a system for issuing payments to eligible persons and a system for determining eligibility which includes provisions for submitting proof of an applicant's actual …

30:4D-41. Rules, regulations The Commissioner of Human Services shall, pursuant to the "Administrative Procedure Act," P.L.1968, c. 410 (C. 52:14B-1 et seq.) adopt rules and regulations necessary to carry out the purposes of this act. L. 1987, c. 298, s. 6.

30:4D-42. Casino revenue funding The Hearing Aid Assistance for the Aged and Disabled Program shall be funded by the Casino Revenue Fund created pursuant to section 145 of P.L.1977, c. 110 (C. 5:12-145). L. 1987, c. 298, s. 7.

30:4D-43. Short title 1. This act shall be known and may be cited as the "Senior Gold Prescription Discount Act." L.2001,c.96,s.1.

30:4D-44 Definitions regarding the "Senior Gold Prescription Discount Act." 2. As used in this act: "Commissioner" means the Commissioner of Human Services. "Department" means the Department of Human Services. "PAAD" means the program of pharmaceutical assistance to the aged and …

30:4D-45 "Senior Gold Prescription Discount Program." 3. a. There is established the "Senior Gold Prescription Discount Program" in the Department of Human Services. b. A resident of this State shall be eligible for the program if the person is: (1) either 65 years of age or olde…

30:4D-45.1 "Senior Gold Prescription Discount Program," notification as to error in estimated annual income. 3. a. Notwithstanding the provisions of any other law to the contrary, a recipient of benefits under the "Senior Gold Prescription Discount Program," established pursuant …

30:4D-45.2 Payment to pharmacy for certain forged, fraudulent prescriptions under State Medicaid program. 3. a. A pharmacy shall receive full payment and shall not be penalized for dispensing a forged or fraudulent prescription that has been approved by the State Medicaid program…

30:4D-45.3 Community retail pharmacy practice site, display, Senior Gold Prescription Discount Program information. 3. Notwithstanding any other provision of law to the contrary, a community retail pharmacy practice site shall prominently display at the point of sale for pharmace…

30:4D-45a Senior Gold Prescription Discount Program, reimbursement, prescription drug costs, remainder. 5. In addition to the reimbursement required pursuant to subsection g. of section 3 of P.L.2001, c.96 (C.30:4D-45), any eligible person under the Senior Gold Prescription Disco…

30:4D-46. Report to Governor, Legislature 4. The commissioner shall annually report to the Governor and the Legislature on the operations of the program and shall include with that report any recommendations for legislative action that the commissioner deems appropriate. L.2001,c…

30:4D-47. Violations of act; program identification cards 5. a. A person violating any provision of this act shall be subject to the applicable civil and criminal penalties provided in P.L.1968, c.413 (C.30:4D-1 et seq.). An eligible person who violates any provision of this act …

30:4D-48. New Jersey EASE program, provide information on prescription program 6. The New Jersey EASE program established by the department shall provide information and assistance to members of the public and potential or actual applicants to the program, including, but not limi…

30:4D-48.1 Senior Gold prescription program information displayed on tax return instructions. 1. The Director of the Division of Taxation in the Department of the Treasury shall prominently display the eligibility qualifications for and benefits available under the "Senior Gold P…

30:4D-49. Funding of Senior Gold Prescription Discount Program 7. The program shall be funded from the monies made available to the State from tobacco companies under the nationwide settlement of the respective actions by state governments against those companies, entered into by…

30:4D-5. Medical assistance program The department, which is hereby designated the single State agency to administer the provisions of this act, through the Division of Medical Assistance and Health Services, by rules and regulations, shall implement and administer the program of…

30:4D-50 Rules, regulations. 8. The Commissioner of Human Services, pursuant to the "Administrative Procedure Act," P.L.1968, c.410 (C.52:14B-1 et seq.), shall adopt rules and regulations to effectuate the purposes of this act. L.2001, c.96, s.8; amended 2012, c.17, s.389.

30:4D-51 Conditions on expending funds. 9. Notwithstanding the provisions of any law to the contrary, no funds appropriated for the Senior Gold Prescription Discount Program established pursuant to this act shall be expended unless participating pharmaceutical manufacturing compa…

30:4D-52 Rebates to DHS for program. 10. Amounts received as rebates under rebate payment contracts executed pursuant to section 9 of this act are appropriated to the Department of Human Services for the support of the Senior Gold Prescription Discount Program. L.2001, c.96, s.10…

30:4D-53 Short title. 1. This act shall be known and may be cited as the "Medicaid Program Integrity and Protection Act." L.2007,c.58,s.1.

30:4D-54 Findings, declarations relative to the Office of Medicaid Inspector General. 2. The Legislature finds and declares that: a. The State of New Jersey expends more than $9 billion in taxpayer funds to fund the Medicaid program each year; b. The State has a continuing respon…

30:4D-55 Definitions relative to the Office of the Medicaid Inspector General. 3. As used in this act: "Abuse" means provider practices that are inconsistent with sound fiscal, business, or medical practices and result in unnecessary costs to Medicaid or in reimbursement for serv…

30:4D-57 Functions, duties, powers, responsibilities of Medicaid Inspector General. 5. a. The Medicaid Inspector General shall have the following general functions, duties, powers, and responsibilities: (1) To appoint such deputies, directors, assistants, and other officers and e…

30:4D-58 Additional authority of the Medicaid Inspector General. 6. a. In addition to the authority otherwise provided by this act, the Medicaid Inspector General is authorized to request, and shall be entitled to receive, such information, assistance, and cooperation from any fe…

30:4D-59 Transfer of certain functions, powers, employees. 7. a. The Medicaid audit, program integrity, fraud, and abuse prevention and recovery functions, all officers and employees that the Medicaid Inspector General deems qualified and substantially engaged therein, and any do…

30:4D-6 Medical assistance for qualified applicants. 6. a. Subject to the requirements of Title XIX of the federal Social Security Act, the limitations imposed by this act, and by the rules and regulations promulgated pursuant thereto, the department shall provide medical assista…

30:4D-6.1. Abortions; payment of claims No payments for medical assistance shall be made under the act hereby supplemented for the termination of a woman's pregnancy for any reason except where it is medically indicated to be necessary to preserve the woman's life. In any case wh…

30:4D-6.10 Conditions for reimbursement to providers; educational materials; terms defined. 2. a. No provider shall be approved for reimbursement by the Division of Medical Assistance and Health Services in the Department of Human Services under Medicaid for a non-medically indic…

30:4D-6.2 Definitions. 1. For the purposes of this act: a. "Certified trained personnel" means one or more individuals directly providing mobility assistance vehicle services possessing and carrying upon their persons a current certificate of completion of an advanced medical tra…

30:4D-6.3. Provider of mobility assistance vehicle services; conditions for approval for reimbursement 2. No provider of mobility assistance vehicle services shall be approved for reimbursement by the Division of Medical Assistance and Health Services for services rendered to Med…