New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 155 - CATASTROPHIC ILLNESS IN CHILDREN RELIEF FUND PROGRAM › Subchapter 1 - CATASTROPHIC ILLNESS IN CHILDREN RELIEF FUND PROGRAM › Section 10:155-1.14 - Eligible health services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Categories of
				incurred expenses, which are related to the medical care of a child with an
				illness or condition eligible for consideration in assessing whether a family
				has reached its eligibility standard include, but are not limited to, the
				following:
1. Physician-authorized
				ancillaries (labs, x-rays);
2.
				Specialized pediatric ambulatory care, including physician-authorized
				rehabilitative therapies (for example, speech, occupational, and physical),
				physician-authorized care for treatment of substance use disorders and
				behavioral health care, dental care, eye care, and chiropractic care;
3. Care in an acute hospital in New Jersey
				(treatment for acute and chronic conditions and treatment of substance use
				disorders and behavioral health conditions);
4. Care in acute hospitals in other states
				(treatment for acute and chronic conditions and treatment of behavioral health
				conditions, including substance use disorders);
5. Physicians and nursing services, including
				immunization services, in all settings;
6. Care in specialty hospitals (for example,
				rehabilitative, psychiatric);
7.
				Long term care (respite care, hospice care, residential care, or other
				care);
8. Home health care
				(physician-authorized home health aide, physician-authorized public health
				nurse, physician-authorized private duty nurse or other care);
9. Pharmaceuticals (physician-authorized
				Federal Drug Administration approved over-the-counter and prescription drugs
				related to the medical condition and physician-authorized Federal Drug
				Administration approved medical formulas);
10. Disposable medical supplies
				(physician-authorized over-the-counter and prescribed supplies);
11. Durable medical equipment (for example,
				physician-authorized ventilators, prostheses);
12. Home modification that is related to the
				medical condition of the child at the time the expenses were
				incurred;
13. Purchase of a
				specialized, modified vehicle and any subsequent modifications that are related
				to the medical condition of the child at the time the expenses were
				incurred;
14. Experimental medical
				treatment/experimental drugs in connection with an FDA-approved clinical trial,
				which are provided by licensed health care providers. Applications involving
				experimental treatment/experimental drugs may require additional
				review;
15. Reasonable funeral
				expenses, including professional services, arrangement and supervision,
				facility charges, transportation (hearse and one family car), casket costs and
				vault or cremation urn. Excluded items include, but are not limited to,
				flowers, prayer cards, books, headstones, name plates and soloist/organist;
				and
16. Family transportation and
				travel-related expenses including, but not limited to, mileage allowance,
				tolls, parking receipts, and temporary shelter costs related to the medical
				condition.