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N.J.A.C. 10:60-2.1 - Covered home health agency services
New JerseyregulationNJ Department of Human Services, Division of Medical Assistance and Health Services (DMAHS)
What this rule requires your agency to do
- 1The registered professional nurse must prepare written instructions for the homemaker-home health aide, and must supervise the aide in the home at a minimum of one visit every two weeks when combined with skilled nursing/PT/OT/speech services, or one visit every 30 days in all other situations (extendable to one visit every two months only with written justification in the agency's records).(N.J.A.C. 10:60-2.1 - Covered home health agency services)
- 2The home health agency must provide comprehensive nursing services under the direction of a public health nurse supervisor/director.(N.J.A.C. 10:60-2.1 - Covered home health agency services)
- 3Skilled nursing supervision of a home health aide, LPN, or PCA must be treated as an overhead administrative cost and must not be billed as a separate unit of service.(N.J.A.C. 10:60-2.1 - Covered home health agency services)
- 4In residential health care facilities, homemaker-home health aide or personal care assistant services are excluded from Medicaid/NJ FamilyCare fee-for-service coverage.(N.J.A.C. 10:60-2.1 - Covered home health agency services)
- 5Homemaker-home health aide services must be performed by a NJ certified homemaker-home health aide under the direction and supervision of a registered professional nurse.(N.J.A.C. 10:60-2.1 - Covered home health agency services)
- 6When a beneficiary requires more than one month of medical supplies, prior authorization must be requested and received from the Division; DME rented or owned by the home health agency must not be billed to the program.(N.J.A.C. 10:60-2.1 - Covered home health agency services)
- 7Home health care services must be provided directly by a Medicaid-approved home health agency (or through its arrangement) and only in the beneficiary's place of residence; home health services are not available to beneficiaries in a hospital or nursing facility.(N.J.A.C. 10:60-2.1 - Covered home health agency services)
- 8Covered services must be provided according to documented medical/nursing needs in the individual plan of care, on the basis of medical necessity.(N.J.A.C. 10:60-2.1 - Covered home health agency services)
Applies to: cross-cutting
NJ Medicaid rule defining covered home health agency services, including nurse supervision of aides, homemaker-home health aide duties/supervision frequency, and prior-authorization rules for supplies and DME.
Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.