N.J. Admin. Code § 10:79-8.9

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

Section 10:79-8.9 - Scope of services during the presumptive eligibility period

All presumptively eligible NJ FamilyCare-Children's Program beneficiaries shall be eligible to receive all applicable NJ FamilyCare-Children's Program services listed in N.J.A.C. 10:49-5.2 (for Plan A), N.J.A.C. 10:49-5.6(a) and (b) (for Plans B and C services), and N.J.A.C. 10:49-5.7(a) and (b) (for Plan D) on a fee-for-service basis during the presumptive eligibility period, including the services that are otherwise only available through a managed care organization, except for those services that a managed care organization may provide as additional services beyond the NJ FamilyCare-Children's Program required services. The provision of the managed care services fee-for-service shall be limited to the presumptive eligibility period.

Amended by R.2004 d.42, effective 1/20/2004.
See: 35 N.J.R. 3802(a), 36 N.J.R. 572(b).
Amended by R.2009 d.232, effective 7/20/2009.
See: 41 N.J.R. 945(a), 41 N.J.R. 2793(a).
Deleted "-Plans A, B and C" following "Program" three times, substituted a comma for "and" following "(for Plan A)", inserted ", and N.J.A.C. 10:49-5.7(a) and (b) (for Plan D)", and substituted "provide" for "be provided".