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MLTSS Services Dictionary (B.9.0) - Home-Based Supportive Care & Personal Care Excerpt

New Jerseysub_regulatoryNJ Department of Human Services, Division of Medical Assistance and Health Services (DMAHS)

What this rule requires your agency to do

  • 1Participants who opt for Adult Family Care or the Assisted Living Program must not also receive PCA, Chore, HBSC, Caregiver/Participant Training, or other listed services, as those would duplicate services integral to AFC/ALP.(MLTSS Services Dictionary (B.9.0) - Home-Based Supportive Care & Personal Care Excerpt)
  • 2HBSC must be delivered by an approved provider type: Licensed Home Health Agency, Licensed Health Care Service Firm, Licensed Employment/Temporary Help Agency, Congregate Housing Services Program, Licensed Hospice Provider, or Participant Directed Provider.(MLTSS Services Dictionary (B.9.0) - Home-Based Supportive Care & Personal Care Excerpt)
  • 3HBSC is offered only when the participant's ADL-related tasks are provided by a non-paid caregiver or another non-Medicaid program, and is not available to those who have chosen Assisted Living Services (ALR, CPCH, ALP).(MLTSS Services Dictionary (B.9.0) - Home-Based Supportive Care & Personal Care Excerpt)
  • 4HBSC must be billed using HIPAA-compliant code S5130 (15 minutes), with S5130 HQ for group homemaker service and T1022 SE for self-directed.(MLTSS Services Dictionary (B.9.0) - Home-Based Supportive Care & Personal Care Excerpt)
  • 5Home-Based Supportive Care (HBSC) services must address IADL deficits identified through the NJ Choice comprehensive assessment process and must go beyond health-related services; HBSC does not include hands-on personal care.(MLTSS Services Dictionary (B.9.0) - Home-Based Supportive Care & Personal Care Excerpt)

Applies to: cross-cutting

Excerpt of the NJ MLTSS Services Dictionary defining Home-Based Supportive Care (IADL-only support), its eligibility gating, service limitations, approved provider types, and billing codes.

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