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| Home > Statutes > USA New Jersey |
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USA Statutes : new_jersey
Title : TITLE 30 INSTITUTIONS AND AGENCIES
Chapter : 30:4D-6j.
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30:4D-6j. Criteria for Medicaid admission to certain long-term care facilities for HIV/AIDS patients.
1. a. Subject to federal financial participation under Title XIX of the federal Social Security Act (42 U.S.C. s.1396 et seq.), the Commissioner of Health and Senior Services shall establish special long-term care facility admission criteria for Medicaid-eligible persons with HIV infection or AIDS, which would apply to facilities that only serve persons with HIV infection or AIDS.
b. The criteria shall enable admission of:
(1) persons with HIV infection who have medical or psycho-social co-morbidities, including, but not limited to: diabetes, cancer, hypertension, hyperlipidemia, asthma, chronic obstructive pulmonary disease, hepatitis B or C, substance abuse, mental illness or dementia; and
(2) persons with AIDS-defining illness and infection, including those persons newly diagnosed with HIV infection, which illness or infection includes, but is not limited to: pneumocystis carinii pneumonia (PCP), toxoplasmosis, cytomegalovirus (CMV), oral-esophageal candidiasis, wasting, bacterial pneumonia, lymphoma, cryptococcal meningitis, mycobacterium avium complex (MAC) or Kaposi@s sarcoma.
L.2005,c.111,s.1.
30:4D-6.1. Abortions; payment of claims
No payments for medical assistance shall be made under the act hereby supplemented for the termination of a woman@s pregnancy for any reason except where it is medically indicated to be necessary to preserve the woman@s life. In any case where a pregnancy is so terminated, the act shall be performed in a hospital and the physician performing the act shall submit in writing a report to the division stating in detail his reasons for finding it necessary to terminate the pregnancy.
L.1975, c. 261, s. 1, eff. Dec. 18, 1975.
30:4D-6.2. Definitions
1. For the purposes of this act:
a. ~Certified trained personnel~ means that the one or more individuals directly providing mobility assistance vehicle services shall possess and carry upon his person a current certificate of completion of an advanced medical training course, as determined by the Commissioner of Health and Senior Services.
b. ~Division~ means the Division of Medical Assistance and Health Services in the Department of Human Services.
c. ~Mobility assistance vehicle service~ means the provision of nonemergency health care transportation, supervised by certified trained personnel, for sick, infirm or otherwise disabled Medicaid recipients who are under the care and supervision of a physician and whose medical condition is not of sufficient magnitude or gravity to require transportation by ambulance, but does require transportation from place to place for medical care and whose use of an alternate form of transportation, such as taxicab, bus, other public conveyance or private vehicle might create a serious risk to life and health.
d. ~Medicaid recipient~ means any person who is determined to be eligible to receive mobility assistance vehicle services as provided under this act and meets the eligibility requirements pursuant to the ~New Jersey Medical Assistance and Health Services Act,~ P.L.1968, c. 413.
e. ~Provider~ means any person, public or private institution, agency or business concern lawfully providing mobility assistance vehicle services authorized under this act.
L.1981,c.134,s.1; amended 1997, c.102, s.1.
30:4D-6.3. Provider of mobility assistance vehicle services; conditions for approval for reimbursement
2. No provider of mobility assistance vehicle services shall be approved for reimbursement by the Division of Medical Assistance and Health Services for services rendered to Medicaid recipients unless such provider meets all the standards and requirements issued pursuant to section 3 and section 5 of this act.
L.1981,c.134,s.2; amended 1997, c.102, s.2.
30:4D-6.4. Minimum requirements, liability insurance, personnel; rules, regulations
3. After consulting with the Commissioner of Human Services, the Commissioner of Health and Senior Services is authorized and empowered to issue and enforce, or cause to be issued and enforced through the division, all necessary rules, regulations and administrative orders with respect to:
a. The development of minimum requirements concerning the equipment, supplies and vehicles of providers of mobility assistance vehicle services;
b. The establishment of standards for the amount of liability insurance each provider must maintain in order to be eligible to provide mobility assistance vehicle services. Evidence of such insurance, including the name of the insurer and the policy number, shall be filed at the time of application for approval by the division and from time to time as the division shall deem necessary; and
c. The establishment of standards for certified trained personnel employed by providers of mobility assistance vehicle services.
L.1981,c.134,s.3; amended 1997, c.102, s.3.
30:4D-6.5. Inapplicability of act to services by volunteer first aid, rescue and ambulance squads
The provisions of this act shall not apply to services provided by volunteer first aid, rescue and ambulance squads as defined in the ~New Jersey Highway Safety Act of 1971,~ P.L.1971, c. 351 (C. 27:5F-1 et seq.).
L.1981, c. 134, s. 4.
30:4D-6.6. Rules and regulations; application of Medical Assistance and Health Services Act
a. After consulting with the Commissioner of Human Services, the Commissioner of Health is authorized and empowered to adopt such rules and regulations as are necessary to carry out his functions and duties under this act and to effectuate its purposes.
b. The provisions of the ~New Jersey Medical Assistance and Health Services Act~ and all rules, regulations and administrative orders issued thereunder shall apply, where applicable.
L.1981, c. 134, s. 5.
30:4D-6.7. Resident of skilled or intermediate care nursing facility discharged to general or psychiatric hospital; coverage by medical assistance program
A resident of a skilled or intermediate care nursing facility who is a recipient of medical assistance payments under P.L.1968, c. 413 (C. 30:4D-1 et seq.), and who is discharged to a general or a psychiatric hospital, shall be covered by the medical assistance program for the number of days the nursing facility maintains the resident@s bed.
L.1984, c. 139, s. 1, eff. Sept. 5, 1984.
30:4D-6.8. Period of maintenance of bed for eligible resident; certification for payment
Every skilled or intermediate care nursing facility in this State shall maintain a bed for an eligible resident for a period not to exceed 10 days. The facility shall notify the Division of Medical Assistance and Health Services in the Department of Human Services upon the discharge of an eligible resident to a general or a psychiatric hospital. The division shall confirm the need to maintain a bed for the discharged resident and shall certify the facility@s eligibility to receive payment.
L.1984, c. 139, s. 2, eff. Sept. 5, 1984.
30:4D-6.9. Inability of discharged resident to return within period; priority for next available bed
If the discharged resident is unable to return to the nursing facility before the end of the 10 day period, the discharged resident shall have priority for the next available bed in the facility.
L.1984, c. 139, s. 3, eff. Sept. 5, 1984.
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