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N.J. Admin. Code § 10:60C-10.1 - Medicaid fraud and abuse (Personal Preference Program)
New JerseyregulationNJ Division of Medical Assistance and Health Services (DMAHS)· effective 2024-12-02
What this rule requires your agency to do
- 1Any suspected situation of Medicaid fraud or abuse should be reported immediately to the Division.(N.J. Admin. Code § 10:60C-10.1 - Medicaid fraud and abuse (Personal Preference Program))
- 2Willful or knowing acceptance of provider agency services by an applicant approved for participant-directed services constitutes fraud and may result in program disenrollment.(N.J. Admin. Code § 10:60C-10.1 - Medicaid fraud and abuse (Personal Preference Program))
Applies to: personal care
Establishes fraud-and-abuse identification, reporting, and referral requirements for the self-directed Personal Preference Program.
Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.