N.J. Admin. Code § 10:79B-2.7

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

Section 10:79B-2.7 - Prior authorization

(a) The first 60 days of CSS services shall not require prior authorization.

(b) Prior to the end of the first 60 days, the CSS provider shall submit a request to Division of Mental Health and Addiction Services (DMHAS) for prior authorization to continue services.

(c) The initial request for prior authorization must include a copy of the IRP. Subsequent submissions that include changes in the level of services requested shall also include a copy of the revised IRP.

(d) No prior authorizations may exceed six months of service.

N.J. Admin. Code § 10:79B-2.7

Adopted by 48 N.J.R. 1678(a), effective 8/15/2016