Hi Sarah,

Sorry for the delay. Just seeing your request. Any one excluded by NJ Medicaid is visible to the public via the the NJ Ineligible
Provider Report and NJ Treasury Consolidated Debarment Report. Here are the links, and let me know if you have any questions, here is my direct email marykay.cary@osc.nj.gov:

Consolidated…

Read more

MaryKay Cary, New Jersey:

If we become aware of behavior that warrants preclusion (e.g., guilty plea to
selling CDS), we would exclude the PCA and add that person to our Ineligibility
list, regardless of whether CMS has taken action regarding the person.

Can you tell me what types of services you are referencing. I’ll try looking into this but I need the services you might be referencing.

MaryKay Cary, New Jersey

@Maureen Barker – Can you tell me what BACB-D stands for?

Thanks,

MaryKay Cary (New Jersey, marykay.cary@osc.nj.gov)

New Jersey has had a waiver now for about 4 years. The basis of our waiver is centered on the fact that 98% of our recipients are in Managed Health Care as well as other factors.

MaryKay

MaryKay.Cary@osc.nj.gov

Hi Dawn,

I don’t think I’ve ever heard or got the impression that SMAs should be paying for a service that is not covered in their State Plan, but rather only for claims that are for already a covered services. Am I missing something or was there guidance that was given that indicates otherwise?

MaryKay Cary (New Jersey)