N.J. Admin. Code § 10:164-1.4

Current through Register Vol. 56, No. 24, December 18, 2024

Section 10:164-1.4 - Required services

(a) As a condition of per diem reimbursement in accordance with N.J.A.C. 10:164-1.6, ADHS facilities shall provide the following to adult beneficiaries:

1. The services required as a condition of licensure at N.J.A.C. 8:43F;

2. The service(s) each adult beneficiary requires to be clinically eligible pursuant to N.J.A.C. 10:164-1.5(f); and

3. A minimum of five hours of services per day, excluding transportation time between the ADHS facility and the adult beneficiary's home, not to exceed five days per week.

(b) ADHS facilities shall provide beneficiaries' transportation to and from the facility and beneficiaries' homes.

1. The total daily transportation time for transportation of a beneficiary between the facility and the beneficiary's home shall not exceed the time limit provided at N.J.A.C. 8:43F-17.1(a).

(c) ADHS facilities shall provide beneficiaries' transportation to and from the facility and rehabilitation services appointments as needed if the rehabilitation service is not provided at the facility.

1. Rehabilitation services may be provided on-site at an ADHS facility or off-site.

(d) An ADHS facility may provide transportation to an adult beneficiary's medical appointment(s) as a service that can be applied toward meeting the minimum service hour requirement identified at (a)3 above.

1. If a facility provides this service, the facility shall provide transportation to and from the facility and the location of the adult beneficiary's medical appointment.

2. The time that may be applied toward meeting the minimum hours of service per day that each beneficiary must receive pursuant to (a)3 above includes transportation between the facility and the adult beneficiary's medical appointment and return trip to the facility, and the time spent at that beneficiary's medical appointment.

(e) The facility shall accommodate the special transportation needs of the beneficiary and medical equipment used by the beneficiary.

N.J. Admin. Code § 10:164-1.4

Amended by R.1994 d.427, effective August 15, 1994.
See: 26 N.J.R. 1427(a), 26 N.J.R. 3474(a).
Amended by R.2001 d.5, effective January 2, 2001.
See: 32 N.J.R. 3053(a), 33 N.J.R. 55(a).
In (a)3ii(1)(A), (a)4i and (a)4ii(3), amended N.J.A.C. reference.
New Rule by R.2005 d.390, effective December 19, 2005 (operative February 1, 2006).
See: 36 N.J.R. 5262(a), 37 N.J.R. 385(b), 4968(a).
Former N.J.A.C. 8:86-1.4, Required services, repealed.
Amended by R.2008 d.1, effective January 7, 2008.
See: 39 N.J.R. 2424(a), 40 N.J.R. 177(a).
Rewrote (a) and (c); added (d) and (e); and recodified former (c)1 as (f).
Amended by R.2009 d.346, effective November 16, 2009 (operative April 1, 2010).
See: 40 N.J.R. 6328(a), 41 N.J.R. 4257(a).
Deleted former (b); recodified former (c) through (f) as (b) through (e); and in the introductory paragraph of (b) and (c), deleted "and PDHS" following "ADHS".