N.J. Admin. Code § 10:77A-1.4 - Beneficiary eligibility

Current through Register Vol. 54, No. 7, April 4, 2022

(a) Medicaid/NJ FamilyCare beneficiaries shall be eligible for adult mental health rehabilitation (AMHR) services provided in/by community residence programs, if such services have been determined clinically necessary using the criteria established by the Division of Mental Health and Addiction Services (see N.J.A.C. 10:37), or as authorized by any contracted agent of the Department of Human Services, which authorizes clinical need for mental health services for adults.
(b) NJ FamilyCare-Plan G beneficiaries are not eligible for AMHR services provided in/by community residence programs. (See 10:49-24.3 )
(c) Beneficiaries eligible as "medically needy" in accordance with N.J.A.C. 10:71 shall not be eligible for AMHR services provided in/by community residence programs.

Notes

N.J. Admin. Code § 10:77A-1.4
Amended by 49 N.J.R. 201(b), effective 1/17/2017

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