N.J. Admin. Code § 10:60-2.2 - Certification of need for home health services

What this rule requires your agency to do

• 1The beneficiary's need for home health services must be certified in writing to the home health agency by the attending physician/practitioner; the nurse or therapist must immediately record and sign verbal orders and obtain the physician's/practitioner's counter signature within 30 days of the date of the order.(N.J. Admin. Code § 10:60-2.2 - Certification of need for home health services)
• 2Recertification of the need for home care services must be done at least every 60 days and be signed and dated by the physician/practitioner who reviews the plan of care (no face-to-face encounter required for recertification).(N.J. Admin. Code § 10:60-2.2 - Certification of need for home health services)
• 3Home care providers must maintain proof of the face-to-face encounter, including the date, time, location, and signature of the authorizing physician/practitioner, subject to review by DHS; failure to comply may result in recoupment of payments.(N.J. Admin. Code § 10:60-2.2 - Certification of need for home health services)
• 4The initial certification face-to-face encounter between an authorized physician/practitioner and the beneficiary must occur no more than 90 days before, or within 30 days after, the start of home care.(N.J. Admin. Code § 10:60-2.2 - Certification of need for home health services)
• 5For managed care beneficiaries, all home health services must be determined medically necessary and prior authorized by the MCO before services are rendered.(N.J. Admin. Code § 10:60-2.2 - Certification of need for home health services)