New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 140 - PERSONAL ASSISTANCE SERVICES PROGRAM
Subchapter 4 - INDIVIDUAL BUDGETS AND FEES
Section 10:140-4.4 - Standards for adjustments in consumer cost share obligation

Universal Citation: NJ Admin Code 10:140-4.4

Current through Register Vol. 56, No. 18, September 16, 2024

(a) Adjustments in consumer cost share obligation shall be based on verifiable expenses that result from the consumer's disability that are non-routine in nature and are due to unforeseen and emergent circumstances. Items that can be considered for reduction of cost share shall be limited to:

1. Unreimbursed or unreimbursable medical expenses;

2. Transportation expenses;

3. Adaptations to home or vehicle that promote access or safety and are related to the consumer's disability;

4. Expenses paid by the consumer for personal care services that are beyond the services provided by the program, but meet the definition of personal care services utilized by the program;

5. Adaptive or assistive technology to compensate for a disability;

6. Expenses related to the care of a certified service animal; or

7. Unreimbursed costs related to the repair of a mobility device or adaptive equipment.

(b) Adjustments in cost share obligations shall be re-evaluated every 12 months or more frequently if necessary in order to redetermine the eligible consumer's ability to pay for services. Reductions in cost share shall be at the discretion of the State Program Administrator based on the list of expenses in (a)1 through 7 above. Appeals of denials of cost share reduction shall be made to the Division Director, who shall render a final decision.

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