New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 79B - COMMUNITY SUPPORT SERVICES FOR ADULTS WITH MENTAL ILLNESS
Subchapter 2 - PROGRAM STANDARDS
Section 10:79B-2.7 - Prior authorization
Universal Citation: NJ Admin Code 10:79B-2.7
Current through Register Vol. 56, No. 18, September 16, 2024
(a) The first 60 days of CSS services shall not require prior authorization.
(b) Prior to the end of the first 60 days, the CSS provider shall submit a request to Division of Mental Health and Addiction Services (DMHAS) for prior authorization to continue services.
(c) The initial request for prior authorization must include a copy of the IRP. Subsequent submissions that include changes in the level of services requested shall also include a copy of the revised IRP.
(d) No prior authorizations may exceed six months of service.
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