New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 142 - PERSONAL PREFERENCE PROGRAM
Subchapter 8 - DISENROLLMENT AND REINSTATEMENT
Section 10:142-8.1 - Voluntary disenrollment
Universal Citation: NJ Admin Code 10:142-8.1
Current through Register Vol. 56, No. 18, September 16, 2024
(a) Voluntary disenrollment of service involves situations in which eligible individuals request and/or agree to the cessation of participant-directed services.
(b) Participants that voluntarily discontinue services and request disenrollment from the program may return to traditional PCA services through an approved Medicaid home care provider agency at any time in accordance with N.J.A.C. 10:142-1.3(a)6.
(c) In the event of a request for a voluntary disenrollment of service by the participant, the following procedures shall be followed:
1. The Division
shall inform the MCO of the disenrollment, for individuals enrolled in managed care, to enable transition to
traditional PCA services, as requested by the participant.
2.
Upon agreeing on a disenrollment date with the MCO as described in (c)1 above, the Division shall instruct
the VF/EA to deactivate the participant-directed services account accordingly to avoid duplication of
services, upon selection of a provider agency and the effective date of the transition.
3. The Division shall provide assistance for individuals enrolled in
Medicaid fee-for-service with the transition to traditional services through an approved home care provider,
at the request of the participant.
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