N.J. Admin. Code § 10:54-5.17

Current through Register Vol. 56, No. 11, June 3, 2024
Section 10:54-5.17 - Home Care Services; Home Health Services (HH)
(a) Medicaid reimbursement shall be limited to home health services provided by Medicare-certified, New Jersey State Department of Health and Senior Services-licensed home health agency that is a participating provider in the New Jersey Medicaid/NJ FamilyCare program. (See N.J.A.C. 8:42 and 10:60-1.2.)
(b) Home Health services shall be prescribed by a physician and shall be directed toward rehabilitation and/or restoration of the beneficiary to the optimal level of physical and/or mental functioning, self-care and independence; or directed toward maintaining the present level of functioning.
(c) Home Health services include the following: professional nursing visits; home health aide services; physical therapy; occupational therapy; speech-language pathology and audiological services; medical social work services; nutritional services; certain medical supplies and equipment; and personal care assistant services.

N.J. Admin. Code § 10:54-5.17

Amended by R.2001 d.51, effective 2/5/2001.
See: 32 N.J.R. 3929(a), 33 N.J.R. 555(a).
In (b), substituted "beneficiary" for "recipient" preceding "to the optimal level".
Amended by R.2012 d.124, effective 7/2/2012.
See: 43 N.J.R. 1477(a), 44 N.J.R. 1884(a).
In (a), substituted "Medicare-certified" for "Medicare certified" and "Services-licensed" for "Services licensed", inserted "/NJ FamilyCare", and deleted "N.J.A.C." preceding "10:60-1.2".