§ 30-4d-8-2

30:4D-8.2 Definitions relative to a Medicaid ACO. 2. As used in this act: 'ACO' means an accountable care organization. 'Behavioral health care provider' means a provider licensed or approved by the Department of Human Services to render services to New Jersey residents. 'Department' means the Department of Human Services. 'Designated area' means a municipality or defined geographic area in which no fewer than 5,000 Medicaid recipients reside. 'Disproportionate share hospital' means a hospital designated by the Commissioner of Human Services pursuant to Pub.L.89-87 (42 U.S.C. s.1396a et seq.) and Pub.L.102-234. 'Medicaid' means the Medicaid program established pursuant to P.L.1968, c.413 (C.30:4D-1 et seq.). 'Medicaid ACO Demonstration Project' or 'demonstration project' means the demonstration project established pursuant to this act. 'Primary care provider' includes the following licensed individuals: physicians, physician assistants, advanced practice nurses, and nurse midwives whose professional practice involves the provision of primary care, including internal medicine, family medicine, geriatric care, pediatric care, or obstetrical/gynecological care.

and nurse midwives whose professional practice involves the provision of primary care, including internal medicine, family medicine, geriatric care, pediatric care, or obstetrical/gynecological care. 'Qualified behavioral health care provider' means a behavioral health care provider who participates in the Medicaid program and renders clinic-based and home-based services to individuals residing in the designated area served by the Medicaid ACO. 'Qualified primary care provider' means a primary care provider who participates in the Medicaid program and who spends at least 25% of his professional time or 10 hours per seven-day week, whichever is less, rendering clinical or clinical supervision services at an office or clinic setting located within the designated area served by a Medicaid ACO. L.2011, c.114, s.2.