Review of Medicare Claims for Adult Mental Health Rehabilitation Services Made by Community Residence Providers in New Jersey.

摘要

The State elected to include coverage of Medicaid adult mental health rehabilitation (AMHR) services provided to mentally ill beneficiaries residing in community residencesgroup homes, supervised apartments, and family care homesunder a program administered by DHSs Division of Mental Health Services. Examples of AMHR services include assistance with daily living skills, managing medication, individual services coordination, counseling, support services, and crisis intervention. Our objective was to determine whether the State claimed Federal Medicaid reimbursement for AMHR services provided by CRR providers in accordance with Federal and State requirements.