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N.J.A.C. 10:60-3.4 - Certification of need for personal care assistant services
New JerseyregulationNJ Department of Human Services, Division of Medical Assistance and Health Services (DMAHS)
What this rule requires your agency to do
- 1The nurse must immediately record and sign verbal orders and obtain the physician's/practitioner's counter signature within 30 days.(N.J.A.C. 10:60-3.4 - Certification of need for personal care assistant services)
- 2If a fee-for-service beneficiary transfers PCA services to another provider agency, the new agency is responsible for obtaining a new physician/practitioner certification.(N.J.A.C. 10:60-3.4 - Certification of need for personal care assistant services)
- 3The certification of need must be on file in the beneficiary record at the service provider agency before the home health aide begins providing services (a managed care plan authorization based on medical necessity serves as the certification for managed care members).(N.J.A.C. 10:60-3.4 - Certification of need for personal care assistant services)
- 4A recertification of need must be obtained when a fee-for-service beneficiary changes his or her attending physician/practitioner.(N.J.A.C. 10:60-3.4 - Certification of need for personal care assistant services)
- 5The beneficiary's need for PCA services must be certified in writing to the health care services firm by a physician/practitioner as medically necessary at initial application and annually thereafter for recertification.(N.J.A.C. 10:60-3.4 - Certification of need for personal care assistant services)
Applies to: personal care
NJ Medicaid rule requiring a physician/practitioner written certification of medical necessity for PCA services at intake and annually, with rules on verbal-order countersignature and provider transfers.
Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.