Care Coordination/Care Management in New Jersey
Subtopic | Statute/Regulation | Description |
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Information sharing across providers (including communication with other providers, across state lines, patient transfer) | Clinical Records, N.J.A.C. § 10:60-2.4 | Clinical Records Home Health Agencies must maintain clinical records for each New Jersey Medicaid/ NJ FamilyCare beneficiary. The records must... |
Treatment planning when using interdisciplinary team (including assessments, plan of care, discharge/transfer planning | Covered Home Health Agency Services, N.J.A.C. § 10:60-2.1 | Covered home health agency services New Jersey Medicaid/ NJ FamilyCare will cover home health services provided or arranged by approved home... |
Functions of an Affiliated Emergency Service (AES), N.J.A.C. 10:31-2.2 | Functions of an Affiliated Emergency Service (AES) New Jersey geographic areas may include “affiliated emergency services (AESs).... |
Licensure laws requiring or recommending care coordination or care management activities (Cross reference with private insurance/Medicaid/Medicare data requirements) | Covered Home Health Agency Services, N.J.A.C. § 10:60-2.1 | Covered home health agency services New Jersey Medicaid/ NJ FamilyCare will cover home health services provided or arranged by approved home... |
Healthstart: Health Support Services, N.J.A.C. 10:58A-3.7 | Healthstart: Health Support Services New Jersey allows Advanced Practice Nurses (APNs) to provide HealthStart health support services so long... | |
Plan of Care, N.J.A.C. § 10:60-2.3 | Plan of Care An attending physician must develop a New Jersey Medicaid/ NJ FamilyCare beneficiary’s plan of care for home health... |
Discharge instructions/Required follow-up. | Plan of Care, N.J.A.C. § 10:60-2.3 | Plan of Care An attending physician must develop a New Jersey Medicaid/ NJ FamilyCare beneficiary’s plan of care for home health... |
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