Personal Preference Program - Managed Care and Vendor Fiscal/Employer Authority Program Operations & Policy Manual (version 1.0)

What this rule requires your agency to do

• 1The VF/EA must process a completed participant enrollment packet within three (3) business days of receipt from the MCO, and develop the PPP Worker New Hire Packet within three (3) business days.(Personal Preference Program - Managed Care and Vendor Fiscal/Employer Authority Program Operations & Policy Manual (version 1.0))
• 2PPP participants/authorized representatives must participate in required quarterly face-to-face visits with their financial consultant; failure may lead to suspension or disenrollment.(Personal Preference Program - Managed Care and Vendor Fiscal/Employer Authority Program Operations & Policy Manual (version 1.0))
• 3Payroll must be bi-weekly and meet federal/state DOL wage/hour requirements; overtime for more than 40 working hours in one workweek is not permitted, and a single worker may be authorized to work up to 16 hours in a day and up to 40 hours per week.(Personal Preference Program - Managed Care and Vendor Fiscal/Employer Authority Program Operations & Policy Manual (version 1.0))
• 4The VF/EA must provide accrued sick leave in accordance with N.J.A.C. 12:69-3.3.(Personal Preference Program - Managed Care and Vendor Fiscal/Employer Authority Program Operations & Policy Manual (version 1.0))
• 5The VF/EA must provide an EVV system compliant with the 21st Century Cures Act that captures the six data elements in real time using GPS technology.(Personal Preference Program - Managed Care and Vendor Fiscal/Employer Authority Program Operations & Policy Manual (version 1.0))
• 6The MCO must subcontract with a state-approved VF/EA to provide financial management services, including obtaining and maintaining a FEIN, IRS FEIN notification, and filed SS-4 form for each Member (Employer of Record).(Personal Preference Program - Managed Care and Vendor Fiscal/Employer Authority Program Operations & Policy Manual (version 1.0))
• 7Prospective PPP workers must pass State and Federal background checks (including the Federal LEIE) at initial employment, re-employment, and employment by another member; the VF/EA must maintain results, block disqualified workers from payment, and rerun checks semi-annually or on request.(Personal Preference Program - Managed Care and Vendor Fiscal/Employer Authority Program Operations & Policy Manual (version 1.0))
• 8A PPP authorized representative must be at least 18, visit the participant at least once per pay period, live in New Jersey (or within an hour/30 miles), have no record of violent felonies or abuse allegations, receive no compensation, and not serve as the participant's worker; participants with a predetermined or mandated AR must have an AR at all times or PPP services are suspended.(Personal Preference Program - Managed Care and Vendor Fiscal/Employer Authority Program Operations & Policy Manual (version 1.0))