Find & Ask › New Jersey › this rule

N.J. Admin. Code § 10:60-3.1 - Purpose and scope (Personal Care Assistant Services)

New JerseyregulationNJ Division of Medical Assistance and Health Services (DMAHS)· effective 2022-09-06

What this rule requires your agency to do

  • 1When a beneficiary lives with a legally responsible relative, the LRR is expected to provide assistance with non-hands-on IADL care tasks that benefit the household as a whole.(N.J. Admin. Code § 10:60-3.1 - Purpose and scope (Personal Care Assistant Services))
  • 2Personal care assistant services shall be provided by a certified licensed home health agency, a certified hospice agency, or by a health care service firm that is accredited, initially and on an on-going basis, by an accrediting body approved by DMAHS.(N.J. Admin. Code § 10:60-3.1 - Purpose and scope (Personal Care Assistant Services))
  • 3Assistance with IADLs (meal preparation, laundry, housekeeping/cleaning, shopping, or other non-hands-on personal care tasks) shall not be permitted as a stand-alone PCA service.(N.J. Admin. Code § 10:60-3.1 - Purpose and scope (Personal Care Assistant Services))
  • 4PCA services must be performed by a qualified individual under the supervision of a registered professional nurse and certified as medically necessary by a physician/practitioner in accordance with a written plan of care.(N.J. Admin. Code § 10:60-3.1 - Purpose and scope (Personal Care Assistant Services))
  • 5To qualify for PCA services, beneficiaries must be in need of moderate or greater hands-on assistance in at least one ADL, or minimal assistance or greater in three different ADLs, one of which must require hands-on assistance.(N.J. Admin. Code § 10:60-3.1 - Purpose and scope (Personal Care Assistant Services))

Applies to: personal care

Defines who may provide Medicaid personal care assistant services, what those services consist of, and the ADL-need thresholds a beneficiary must meet to qualify.

Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.