N.J. Admin. Code § 10:142-6.1

Current through Register Vol. 56, No. 21, November 4, 2024

Section 10:142-6.1 - Participant self-direction

(a) The Division shall retain sole authority in determining an individual's appropriateness for participant-directed services under the program.

(b) In the event of a change in the participant's condition, negatively impacting his or her continued ability to self-direct activities of daily living, that is detected by the MCO liaison care manager or program consultant, concerns must be provided to the Division along with supporting evidence to document the situation. The Division shall investigate all concerns and review information pursuant to this section, as well as from other sources, and shall render a determination regarding continuation of program eligibility, including the potential mitigation of circumstances.

(c) If the participant is determined to be incapable of participant-direction, the Division shall inform the participant in writing and notify the MCO liaison accordingly, so they can obtain traditional agency delivered PCA services.

N.J. Admin. Code § 10:142-6.1

Adopted by 49 N.J.R. 3993(a), effective 12/18/2017