N.J. Admin. Code § 10:60-5.11

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

Section 10:60-5.11 - Prior authorization of MLTSS/PDN services

(a) There is no 24-hour coverage except for a limited period of time under the following emergency circumstances and when prior authorized by the MCO:

1. For brief post-hospital periods while the caregiver(s) adjust(s) to the new responsibilities of caring for the discharged beneficiary; or

2. In emergency situations such as the illness of the caregiver when private duty nursing is currently being provided. In these situations, more than 16 hours of private duty nursing services may be provided for a limited period until other arrangements are made for the safety and care of the beneficiary.

N.J. Admin. Code § 10:60-5.11

Amended by 50 N.J.R. 1992(b), effective 9/17/2018