N.J. Admin. Code § 10:60-6.5

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

Section 10:60-6.5 - Procedures used as financial controls for Model Waiver programs

(a) Total program costs shall be restricted by limits placed on the maximum number of beneficiaries served Statewide in each of the three programs.

(b) A case manager shall be responsible for the development of the service plan with each beneficiary/family and with input from the provider agencies and the Medicaid professional staff. The case manager shall be responsible for monitoring the cost of the service package.

(c) The cost of Medicaid services provided shall not exceed the cost of institutionalization for the beneficiary.

N.J. Admin. Code § 10:60-6.5