X X Oral Health Care X X X Emergency Services * X X Hospitalization X X X Laboratory Services X X Maternity and Newborn Care Mental Health: Outpatient X X X Mental Health: Inpatient X X Psychosocial Support X Residential Treatment Center X Substance Abuse Outpatient X X X X X Substance Abuse: Inpatient X Other Support Services X Pediatric Services X X X Prescription Drugs X Preventive and Wellness Services * X Rehabilitative Services Medical Day Care X Skilled Nursing X Source: State Health Reform Impact Modeling Project: New Jersey (*) Limited coverage offered depending on the plan. Table 7 Drug Coverage Comparisons # Drugs Covered Drug Groupings ADAP Horizon Medicaid HMO Multiclass Combination Drugs 3 2 3 NRTIs 12 12 12 NNRTIs 5 3 5 Protease Inhibitors 10 9 10 Fuzion Inhibitors 1 1 1 Entry Inhibitors 1 1 1 HIV Intergrase Strand Transfer Inhibitors 1 1 1 "A1" Opportunistic Infection Medications 30 28 30 Source: State Health Reform Impact Modeling Project: New Jersey
Oral Health Care X X Emergency Services X X X Hospitalization * X X Laboratory Services X X X Maternity and Newborn Care X X Mental Health: Outpatient X X X Mental Health: Inpatient X X Psychosocial Support X Residential Treatment Center X Substance Abuse Outpatient X X X Substance Abuse: Inpatient X X Other Support Services X Pediatric Services X Prescription Drugs X X X Preventive and Wellness Services X Rehabilitative Services * X Medical Day Care X Skilled Nursing X Source: State Health Reform Impact Modeling Project: New Jersey (*) Limited coverage offered depending on the plan. Table 7 Drug Coverage Comparisons # Drugs Covered Drug Groupings ADAP Horizon HMO Medicaid Multiclass Combination Drugs 3 2 3 NRTIs 12 12 12 NNRTIs 5 3 5 Protease Inhibitors 10 9 10 Fuzion Inhibitors 1 1 1 Entry Inhibitors 1 1 1 HIV Intergrase Strand Transfer Inhibitors 1 1 1 "A1" Opportunistic Infection Medications 30 28 30 Source: State Health Reform Impact Modeling Project: New Jersey
ACA_Draft_Report_070914.docx