N.J. Admin. Code § 10:75-2.6
Current through Register Vol. 57, No. 1, January 6, 2025
In accordance with 42 C.F.R. 456.22, all Medicaid/NJ FamilyCare services shall have procedures that provide for review of each resident's need for the services. For the Utilization Review (UR), each PRTF shall perform on-going evaluations of the necessity and appropriateness of PRTF services for each resident. The UR shall include a review of the appropriateness of the admission, individual plan of care, length of stay and discharge plan.
N.J. Admin. Code § 10:75-2.6