New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 75 - PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY SERVICES FOR INDIVIDUALS UNDER AGE 21
Subchapter 2 - PROGRAM REQUIREMENTS
Section 10:75-2.1 - General requirements
Universal Citation: NJ Admin Code 10:75-2.1
Current through Register Vol. 56, No. 18, September 16, 2024
(a) Reimbursable PRTF services under the Medicaid/NJ FamilyCare/DCF/DCSOC programs shall be those services determined to be medically necessary, using professionally developed criteria and standards of care, and shall be provided under the direction of a physician in a facility that meets the requirements of 10:75-1.3.
(b)PRTF services for Medicaid/NJ FamilyCare/DCF/DCSOC beneficiaries under age 21 shall meet the requirements of 42 CFR 441.151. The services shall be provided:
1. Under the
direction of a physician;
2. By a
facility that is accredited by TJC or by an agency authorized by DHS and DCF;
and
3. Before the beneficiary
reaches age 21, or, if the beneficiary was receiving such services immediately
before he or she reached age 21, services may be provided until the beneficiary
no longer requires the services or the beneficiary reaches age 22, whichever
event occurs earlier.
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