N.J. Admin. Code § 10:75-2.1

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

Section 10:75-2.1 - General requirements

(a) Reimbursable PRTF services under the Medicaid/NJ FamilyCare/DCF/DCSOC programs shall be those services determined to be medically necessary, using professionally developed criteria and standards of care, and shall be provided under the direction of a physician in a facility that meets the requirements of 10:75-1.3.

(b)PRTF services for Medicaid/NJ FamilyCare/DCF/DCSOC beneficiaries under age 21 shall meet the requirements of 42 CFR 441.151. The services shall be provided:

1. Under the direction of a physician;

2. By a facility that is accredited by TJC or by an agency authorized by DHS and DCF; and

3. Before the beneficiary reaches age 21, or, if the beneficiary was receiving such services immediately before he or she reached age 21, services may be provided until the beneficiary no longer requires the services or the beneficiary reaches age 22, whichever event occurs earlier.

N.J. Admin. Code § 10:75-2.1

Amended by 49 N.J.R. 101(a), effective 1/3/2017