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 10:75-2.6 - Utilization Review (UR)
Universal Citation: NJ Admin Code 10:75-2.6
Current through Register Vol. 56, No. 18, September 16, 2024
In accordance with 42 C.F.R. 456.22, all Medicaid/NJ FamilyCare services shall have procedures that provide for review of each resident's need for the services. For the Utilization Review (UR), each PRTF shall perform on-going evaluations of the necessity and appropriateness of PRTF services for each resident. The UR shall include a review of the appropriateness of the admission, individual plan of care, length of stay and discharge plan.
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