Current through Register Vol. 54, No. 7, April 4, 2022
purposes of enrollment and continued participation in the Personal Preference
Program, an eligible individual must meet the following standards:
An eligible applicant or participant shall
be a resident of the State of New Jersey and must reside within the geographic
boundaries thereof in order to qualify for services. Residency shall be
determined by physical domicile in the State of New Jersey. Exceptions to this
rule include participants who are enrolled in a college/university on a
full-time basis in- or out-of-State subject to the following:
i. Participant students must be present at
their New Jersey address to participate in home visits and nursing
reassessments, in accordance with N.J.A.C. 10:142-2.2(a)13.
ii. Participant students must provide
documentation of progress towards completion of a planned educational goal,
such as a degree, certification, accreditation, etc.
2. An eligible applicant or participant must
be eligible for a Medicaid program pursuant to N.J.A.C.10:49.
3. An eligible applicant or participant must
have and maintain Medicaid eligibility as categorically needy as defined in
An eligible applicant or participant must be capable of self-directing services
and/or be willing to use an authorized representative to manage services
pursuant to N.J.A.C. 10:142-2.2(c) and 3.3.
5. An eligible applicant or participant must
live in either a private house or apartment, college/university housing,
rooming or boarding house (except for a class C boarding home), a Division of
Child Protection and Permanency foster home, skill-development home, supervised
apartment, or other congregate living program where personal care assistance is
not provided as part of the service package, which is included in the
beneficiary's living arrangement.
(b) Individuals who reside in, or are
inpatient in, a residential care setting where personal care services are the
responsibility of those entities are ineligible for the Personal Preference
(c) Individuals who reside
in residential care settings remain ineligible to receive services from the
Personal Preference Program during periods they temporarily or intermittently
leave the setting or reside elsewhere.
(d) An eligible participant may not receive
Personal Preference services while attending a camp program or a day program.
In these situations, PCA is the responsibility of the program.
(e) It is the responsibility of the
participant, and/or representative, where appropriate, to maintain program
eligibility in good standing by complying with all requirements as specified in