New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 53A - HOSPICE SERVICES MANUAL
Subchapter 3 - BENEFICIARY REQUIREMENTS
Section 10:53A-3.5 - Services unrelated to the terminal illness
Current through Register Vol. 56, No. 18, September 16, 2024
(a) The hospice beneficiary, by signing the Election of Hospice Benefits Statement, FD-378 (6/92) agrees to waive most regular Medicaid/NJ FamilyCare FFS services. However, Medicaid/NJ FamilyCare FFS covered services unrelated to the terminal illness, included in the plan of care, may be provided by approved Medicaid/NJ FamilyCare FFS providers upon approval of the interdisciplinary team of the hospice.
(b) The unlimited number of subsequent 60-day periods beyond 180 days of hospice care must also be approved by the interdisciplinary team of the hospice as an integral part of the plan of care.
(c) The documentation of the approval of unrelated services and each subsequent 60-day period shall be filed in the beneficiary's medical record with the copy of the claim form and be made available upon request for post-payment review purposes.