N.J. Admin. Code § 10:60C-5.1

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

Section 10:60C-5.1 - Application disposition

(a) The Division shall review the self-direction enrollment package and cash management plan, as submitted by the consultant, and affirm the establishment of the applicant as employer of record under the program.

(b) Division staff shall verify Medicaid/NJ FamilyCare eligibility as defined at N.J.A.C. 10:60C-2.1.

(c) If the participant is determined as appropriate for participant directed services following review of the application described at (a) above, the Division shall:

1. Inform the respective MCO liaison (for participants enrolled in managed care) and VF/ EA of the start date for program services; and

2. Issue written or electronic correspondence informing the applicant of the start date and monthly budget amount pursuant to N.J.A.C. 10:60C-4.1.

(d) Upon notice of approval, the participant must refuse acceptance of traditional PCA services from a provider agency as of the planned start date in the Personal Preference Program to obtain participant-directed services, in order to avoid commission of fraud and possible disenrollment pursuant to N.J.A.C. 10:60C-10.1(d).

N.J. Admin. Code § 10:60C-5.1

Amended and recodified from 10:142-5.1 by 56 N.J.R. 2294(a), effective 12/2/2024