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N.J. Admin. Code § 10:60C-2.1 - Eligibility requirements for the Personal Preference Program

New JerseyregulationNJ Division of Medical Assistance and Health Services (DMAHS)· effective 2024-12-02

What this rule requires your agency to do

  • 1An eligible applicant or participant must be capable of self-directing services and/or willing to use an authorized representative to manage services.(N.J. Admin. Code § 10:60C-2.1 - Eligibility requirements for the Personal Preference Program)
  • 2An eligible applicant or participant must be eligible for and maintain Medicaid/NJ FamilyCare eligibility as categorically needy pursuant to N.J.A.C. 10:49.(N.J. Admin. Code § 10:60C-2.1 - Eligibility requirements for the Personal Preference Program)
  • 3It is the responsibility of the participant and/or representative to maintain program eligibility in good standing by complying with all requirements at N.J.A.C. 10:60C-2.2.(N.J. Admin. Code § 10:60C-2.1 - Eligibility requirements for the Personal Preference Program)
  • 4Individuals residing or inpatient in a residential care setting where personal care is that entity's responsibility are ineligible, including during temporary or intermittent absences from the setting.(N.J. Admin. Code § 10:60C-2.1 - Eligibility requirements for the Personal Preference Program)
  • 5An eligible applicant or participant must live in an approved setting (private house/apartment, college housing, rooming/boarding house except class C, DCP&P foster home, skill-development home, supervised apartment, or congregate program where personal care is not already included).(N.J. Admin. Code § 10:60C-2.1 - Eligibility requirements for the Personal Preference Program)
  • 6A participant may not receive Personal Preference services while attending a camp program or a day program; PCA is the responsibility of that program.(N.J. Admin. Code § 10:60C-2.1 - Eligibility requirements for the Personal Preference Program)
  • 7An eligible applicant or participant shall be a resident of New Jersey (determined by physical domicile), with limited exceptions for full-time college/university students who must still be present at their NJ address for home visits and nursing reassessments and must document progress toward a planned educational goal.(N.J. Admin. Code § 10:60C-2.1 - Eligibility requirements for the Personal Preference Program)

Applies to: personal care

Sets the residency, Medicaid eligibility, self-direction, and living-arrangement standards a person must meet to enroll in and remain in the self-directed Personal Preference Program.

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