N.J. Admin. Code § 10:60-1.5
Current through Register Vol. 56, No. 21, November 4, 2024
When the cost of home care services is equal to or in excess of the cost of institutional care over a protracted period (that is, six months or more), DDS or DMAHS retains the right to limit or deny the provision of home care services on a prospective basis.
N.J. Admin. Code § 10:60-1.5
See: 25 N.J.R. 2803(a), 26 N.J.R. 364(c).
Amended by R.1997 d.277, effective 7/7/1997.
See: 29 N.J.R. 1454(a), 29 N.J.R. 2831(a).
In (f), amended internal cite and added last sentence; and in (g), substituted "obtain prior authorization ... with N.J.A.C. 10:49-6.1" for "notify the Medicaid District Office (MDO), either in writing or by telephone" and amended "failure to comply" clause to conform.
Recodified from N.J.A.C. 10:60-1.12 and amended by R.2001 d.14, effective 1/2/2001.
See: 32 N.J.R. 3940(a), 33 N.J.R. 66(a).
Rewrote the section. Former N.J.A.C. 10:60-1.5, Certification of need for services, recodified to N.J.A.C. 10:60-2.2.
Amended by R.2006 d.238, effective 7/3/2006.
See: 38 N.J.R. 1136(a), 38 N.J.R. 2810(a).
Section was "Limitations of home care services". Deleted designation (a), and substituted "DDS or DMAHS" for "the Division".