N.J. Admin. Code § 10:164-1.1

Current through Register Vol. 56, No. 24, December 18, 2024

Section 10:164-1.1 - Purpose and scope; participant eligibility

(a) The Adult Day Health Services Program is concerned with the fulfillment of the health needs of eligible individuals who could benefit from a health services alternative to total institutionalization. Adult Day Health Services is a program that provides medically necessary services in an ambulatory care setting to individuals who are nonresidents of the facility, and who, due to their physical and/or cognitive impairment, require such services supportive to their community living.

(b) To be eligible for services through the Adult Day Health Services Program, an individual must satisfy the clinical eligibility and prior authorization requirements at N.J.A.C. 10:164-1.5 and either:

1. Have been determined to be eligible for Medicaid; or

2. Be enrolled in the Community Care Program for the Elderly and Disabled, the Caregiver Assistance Program, the Adult Family Care Program, Community Resources for People with Disabilities, the AIDS Community Care Alternatives Program, the Traumatic Brain Injury Program, the Home Care Expansion Program or the Jersey Assistance for Community Caregiving Program.

N.J. Admin. Code § 10:164-1.1

Amended by R.1994 d.427, effective August 15, 1994.
See: 26 N.J.R. 1427(a), 26 N.J.R. 3474(a).
Amended by R.2005 d.390, effective December 19, 2005 (operative February 1, 2006).
See: 36 N.J.R. 5262(a), 37 N.J.R. 385(b), 4968(a).
Rewrote the section.
Amended by R.2008 d.1, effective January 7, 2008.
See: 39 N.J.R. 2424(a), 40 N.J.R. 177(a).
Section was "Purpose and scope". Rewrote (b).
Amended by R.2009 d.346, effective November 16, 2009 (operative April 1, 2010).
See: 40 N.J.R. 6328(a), 41 N.J.R. 4257(a).
Deleted "and Pediatric" following "Adult" throughout; in (a), deleted the last sentence; and in (b)2, substituted "Program" for "program" following "Adult Family Care" and deleted "or the ABC Program for medically fragile children," following "Brain Injury Program,".