N.J. Admin. Code § 10:71-9.4

Current through Register Vol. 56, No. 21, November 4, 2024

Section 10:71-9.4 - Continuation of medical need

(a) Submittal of data to DMAHS/MRT: Thirty days prior to the end of each certification period, the CWA will forward to DMAHS/MRT photocopies of all forms and reports bearing on the individual's need for continued inpatient hospital services, skilled nursing home services or home health care services required by reason of an illness necessitating confinement at home for a prolonged period.

(b) Response by DMAHS/MRT: The DMAHS/MRT will review the submitted material and notify the CWA of its determination. The determination will specify whether continuation does or does not exist.

(c) CWA Action: Upon receipt of the DMAHS/MRT determination the CWA will, as appropriate, move to terminate or recertify the case for such periods as may be required to make the review month become the final month of the new certification period.

N.J. Admin. Code § 10:71-9.4

Amended by R.1995 d.651, effective 12/18/1995.
See: 27 N.J.R. 3543(a), 27 N.J.R. 5046(a).
Amended by R.2000 d.415, effective 10/16/2000.
See: 32 N.J.R. 2565(a), 32 N.J.R. 3844(a).
Substituted references to MRT for references to DRU and substituted references to CBOSSs for references to CWAs throughout; and in (a), substituted a reference to DMAHS/MRT for a reference to DPW/BMA.
Amended by R.2012 d.025, effective 2/6/2012.
See: 43 N.J.R. 804(a), 44 N.J.R. 230(a).
Substituted "CWA" for "CBOSS" throughout; in (a), deleted a comma following the second occurrence of "services".