N.J. Admin. Code § 10:54-6.7

Current through Register Vol. 56, No. 16, August 19, 2024

Section 10:54-6.7 - Access to service

(a) All HealthStart services shall be accessible to patients.

(b) HealthStart Maternity Care providers shall facilitate patient access to services by scheduling appointments for the HealthStart enrollment visit, the initial antepartum maternity medical care and other health support assessments within two weeks of the patient's first request for services. The initial antepartum maternity medical care visit shall be completed within two weeks of the patient's first visit and shall include, at a minimum, the following:

1. The medical history;

2. A risk assessment;

3. Collection of laboratory specimens;

4. A plan for continuing services;

5. A comprehensive physical examination; and

6. Routine counseling and treatment.

(c) HealthStart Maternity Care and Maternity Medical Care providers shall provide or arrange for 24 hour access to case coordination and medical services for emergency situations.

(d) HealthStart Maternity Care providers shall provide or arrange for language translation and/or interpretation services on site during clinic times to assure that patients understand the care and the treatment plan.

(e) HealthStart Maternity Care providers may implement presumptive eligibility determinations if they are approved by the Division of Medical Assistance and Health Services to institute this process. (See also N.J.A.C. 10:49-2.) At the onset of presumptive eligibility determination, the provider shall inform the applicant of the importance of applying for Medicaid eligibility at the County Board of Social Services (CBOSS) to ensure that her Medicaid eligibility extends beyond the limited presumptive eligibility period.

(f) HealthStart Maternity Care providers shall undertake community outreach activities to encourage women to seek early prenatal care and increase awareness of the availability of maternity care services.

N.J. Admin. Code § 10:54-6.7

Amended by R.2001 d.51, effective 2/5/2001.
See: 32 New Jersey Register 3929(a), 33 New Jersey Register 555(a).
In (e), substituted "County Board of Social Services (CBOSS)" for "County Welfare Agency (CWA)".