N.J. Admin. Code § 10:77-3.4

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

Section 10:77-3.4 - Eligibility for services

(a) The Division shall consider claims for children, youth, or young adults who are eligible for Medicaid/NJ FamilyCare, and children who are ineligible for Medicaid/NJ FamilyCare, but who are receiving mental/behavioral health services from DCF/CSOC. Children eligible as "medically needy" in accordance with N.J.A.C. 10:71 shall not be eligible for mental health rehabilitation services.

(b) Children are eligible for services under this subchapter if the services have been determined clinically necessary using the criteria established by the Department of Human Services or Children and Families, or have been prior authorized by the Division of Medical Assistance and Health Services, or any contracted agent of the Department of Human Services or Children and Families used to authorize the clinical need for these services.

N.J. Admin. Code § 10:77-3.4

Amended by 48 N.J.R. 81(a), effective 1/4/2016