New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 49 - ADMINISTRATION MANUAL
Subchapter 5 - SERVICES COVERED BY MEDICAID AND THE NJ FAMILYCARE PROGRAMS
Section 10:49-5.9 - Services available for beneficiaries eligible for NJ FamilyCare-Plan G

Universal Citation: NJ Admin Code 10:49-5.9

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

(a) General assistance-eligible individuals shall receive Plan G services, which shall be those services delineated at 10:49-24.3.

(b) The mental health and mental health rehabilitation services listed below may be available to beneficiaries under 21 years of age who are eligible for NJ FamilyCare-Plan G if they are also receiving services from the Division of Child Behavioral Health Services. All services shall first be authorized by the Contracted Systems Administrator, the Division of Medical Assistance and Health Services or other agent authorized by the Department of Human Services and shall be included in an approved plan of care.

1. Care coordination by a care management organization (CMO) (see N.J.A.C. 10:73);

2. Psychiatric services provided in an inpatient psychiatric hospital setting (see N.J.A.C. 10:52);

3. Mental health rehabilitation services provided in residential childcare facilities (as defined in N.J.A.C. 10:127 and licensed by DHS/DYFS), children's group homes (as defined in N.J.A.C. 10:128 and licensed by DHS/DYFS), or psychiatric community residences for youth (as defined in N.J.A.C. 10:37B and licensed by DHS/DMHS);

4. Behavioral assistance services for children, youth or young adults (see N.J.A.C. 10:77-4);

5. Mobil response and stabilization management services for children, youth or young adults under EPSDT (see N.J.A.C. 10:77-6); and

6. Intensive in-community mental health rehabilitation services for children, youth or young adults under EPSDT (see N.J.A.C. 10:77-5).

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