N.J. Admin. Code § 10:60A-3.2

Current through Register Vol. 57, No. 1, January 6, 2025

Section 10:60A-3.2 - PMDC clinical eligibility for Medicaid/NJ FamilyCare beneficiaries receiving private-duty nursing

(a) A Medicaid/NJ FamilyCare beneficiary who receives private-duty nursing authorized by the New Jersey Department of Human Services pursuant to N.J.A.C. 10:60 may elect to receive PMDC services instead of, but not in addition to, the authorized daytime hours of private-duty nursing, if professional staff designated by the Department determine that the Medicaid/NJ FamilyCare beneficiary is a medically complex child and/or a technology-dependent child pursuant to N.J.A.C. 10:60A-3.1.

1. PMDC hours shall supplant, not supplement, authorized private-duty nursing hours, on an hour-for-hour basis.

2. A Medicaid/NJ FamilyCare beneficiary may elect to replace some or all of the authorized private-duty nursing hours for PMDC hours, but not concurrently; that is, a Medicaid/NJ FamilyCare beneficiary shall not receive authorized private-duty nursing during the same hours the beneficiary receives replacement PMDC.

N.J. Admin. Code § 10:60A-3.2

Amended and Recodified from 10:166-3.2 by 56 N.J.R. 262(a), effective 2/20/2024