Current through Register Vol. 54, No. 7, April 4, 2022
(a) The outcome of the reassessment pursuant
to N.J.A.C. 10:142-6.2 shall determine the number of PCA hours needed to be
used as the basis for determining the budget allocation under the program as
described in N.J.A.C. 10:142-4.1.
(b) The reassessment package documents as
described in N.J.A.C. 10:142-3.1(c) shall be reviewed by the Division,
following completion of the reassessment by the MCOs for participants enrolled
in managed care, or by Division staff for individuals enrolled in
fee-for-services. The Division shall communicate the results of the
reassessment to the participant, pursuant to contract provisions between the
Department and MCOs.
(c) A change
in the monthly cash allocation may not be initiated without an approved
modified cash management plan (CMP). The Division shall inform the participant
in writing of any need to modify the CMP pursuant to N.J.A.C. 10:142-4.7,
resulting from the reassessment outcome and the subsequent change in the
monthly cash allocation under (b) above.
(d) The Division will provide a time frame
for completion and deadline for submission by participant of any modified CMP.
Failure to complete a modified CMP by the requested date assigned by the State
program office may result in disenrollment from the program due to
N.J. Admin. Code §
N.J.R. 3993(a), effective