New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 71 - MEDICAID ONLY
Subchapter 9 - MEDICAL ASSISTANCE FOR THE AGED CONTINUATION
Section 10:71-9.4 - Continuation of medical need

Universal Citation: NJ Admin Code 10:71-9.4

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

(a) Submittal of data to DMAHS/MRT: Thirty days prior to the end of each certification period, the CWA will forward to DMAHS/MRT photocopies of all forms and reports bearing on the individual's need for continued inpatient hospital services, skilled nursing home services or home health care services required by reason of an illness necessitating confinement at home for a prolonged period.

(b) Response by DMAHS/MRT: The DMAHS/MRT will review the submitted material and notify the CWA of its determination. The determination will specify whether continuation does or does not exist.

(c) CWA Action: Upon receipt of the DMAHS/MRT determination the CWA will, as appropriate, move to terminate or recertify the case for such periods as may be required to make the review month become the final month of the new certification period.

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