New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 54 - PHYSICIAN SERVICES
Subchapter 5 - POLICIES AND PROCEDURES FOR PROVISION OF SERVICES PRESCRIBED OR RENDERED BY A PHYSICIAN
Section 10:54-5.20 - Home Care Services; Home and Community-Based Services Waiver programs; general
Current through Register Vol. 56, No. 18, September 16, 2024
(a) Individuals served in the Home and Community-Based Services Waiver program shall be medically in need of nursing facility care, as determined by the professional staff designated by the Department of Health and Senior Services but elect to remain at home with community-based services.
(b) The cost of providing home care services for a beneficiary enrolled in a Home and Community-Based Waiver shall not exceed the cost of institutional care.
(c) Home and Community-Based Waiver services are provided within a case managed delivery system, as follows:
(d) Each program targets specific groups to be served, such as the blind, the disabled, the elderly, children or those with Acquired Immune Deficiency Disease (AIDS) or survivors of traumatic brain injuries.
(e) Certain aspects of Medicaid financial eligibility are waived, in accordance with N.J.A.C. 10:49.