NJ Medicaid Portfolio
The Center has a long-standing and close working relationship with the New Jersey Department of Medical Assistance and Health Services, which oversees NJ FamilyCare, the state’s Medicaid Program.
New Jersey Comprehensive Medicaid Waiver Demonstrations
Since 2012, Rutgers Center for State Health Policy (CSHP) has served as the independent evaluator for the NJ FamilyCare Comprehensive Demonstration, a Section 1115 Medicaid waiver demonstration initiative developed by the New Jersey Division of Medical Assistance and Health Services (DMAHS) and approved by the US Centers for Medicare and Medicaid Services (CMS) for three successive periods – 2012-2017, 2017-2022 (extended to March 2023), and 2023-2028.
New Jersey Medicaid Accountable Care Organization (ACO) Demonstration Project
The New Jersey Medicaid Accountable Care Organization (ACO) Demonstration project, enacted in 2011 (NJ P.L. 2011, c.114), created a mechanism for provider coalitions to share in Medicaid savings they generate through care improvement initiatives in designated geographic areas with at least 5,000 beneficiaries. Regulations (46 NJR 5(1)) were finalized in May 2014 and the Demonstration began in July 2015 with three certified ACOs (Camden Coalition of Health Care Providers, Healthy Greater Newark ACO [now Greater Newark Health Care Coalition] and Trenton Health Team).
The 2011 legislation called for the Center for State Health Policy to support the implementation and evaluation of the Demonstration. To fulfill this mandate, the Center conducted in-depth analyses and program evaluations drawing on stakeholder interviews in addition to Medicaid claims and encounter data and other data sources.
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