New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 142 - PERSONAL PREFERENCE PROGRAM
Subchapter 3 - SCREENING AND APPLICATION
Section 10:142-3.1 - Screening and application process for PCA participants enrolled in NJ FamilyCare/Medicaid managed care
Current through Register Vol. 56, No. 18, September 16, 2024
(a) Individuals who are enrolled in NJ FamilyCare/Medicaid MCO and are interested in participant-directed services shall make application directly to their respective MCO.
(b) Upon receipt of a request to self-direct PCA services, the MCO shall screen the participant to determine if he or she meets program criteria and shall use the State's prescribed screening and application forms.
(c) If it is determined that the applicant meets the program criteria as described in this section, the MCO will authorize the participant for participant-directed services and refer the applicant to the Division for further action.
(d) The Division shall refer applicants to the counseling agency to continue the enrollment process according to contract provisions established between the Division and the VF/EA counseling entity.
(e) The counseling agency consultant shall establish the applicant as the employer of record and complete the enrollment process.