N.J. Admin. Code § 10:76-2.3

Current through Register Vol. 56, No. 24, December 18, 2024

Section 10:76-2.3 - Beneficiary eligibility

(a) Medicaid and NJ Family Care Plan A and NJ FamilyCare Alternative Benefit Plan beneficiaries age 18 and older shall be eligible to receive PACT services, except for beneficiaries enrolled under the Medically Needy program (N.J.A.C. 10:70).

1. NJ FamilyCare-Plan A adults without children shall not be eligible to receive PACT. These beneficiaries are identified by the Program Code "70" in positions 3 and 4 of their NJ FamilyCare Identification Number.

(b) Beneficiaries facing chronic and severe mental illness, who have not responded to traditional mental health treatment, using the criteria established by the Division of Mental Health and Addiction Services at N.J.A.C. 10:37J-2.3, shall be referred for PACT services by their mental health provider.

N.J. Admin. Code § 10:76-2.3

Amended by 48 N.J.R. 79(b), effective 1/4/2016