N.J. Admin. Code § 10:54-5.19

Current through Register Vol. 56, No. 21, November 4, 2024

Section 10:54-5.19 - Home Care Services; Home and Community-Based Services Waiver programs eligibility

(a) Financial eligibility for Medicaid for Home and Community-Based Services Waiver programs will be determined by either the county welfare agency (CWA) or by the Social Security Administration.

(b) Clinical eligibility for Medicaid for Home and Community-Based Services Waiver programs will be determined by the professional staff designated by the Department of Health and Senior Services (DHSS), based on a comprehensive needs assessment that demonstrates that the beneficiary requires, at a minimum, basic nursing facility services as described in N.J.A.C. 8:85, Long-Term Care Services.

Amended by R.2001 d.51, effective 2/5/2001.
See: 32 N.J.R. 3929(a), 33 N.J.R. 555(a).
In (a), substituted "County Board of Social Services (CBOSS)" for "County Welfare Agency (CWA)" preceding "or by the Social Security Administration"; in (b), substituted "Medical Assistance Customer Center (MACC)" for "Medical District Office (MDO)" preceding "for the appropriate level of care designation.".
Amended by R.2012 d.124, effective 7/2/2012.
See: 43 N.J.R. 1477(a), 44 N.J.R. 1884(a).
In (a), substituted "county welfare agency (CWA)" for "County Board of Social Services (CBOSS)"; and rewrote (b).