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2 N.J.A.R. 145
- Medical Assistance & Health Services, Division of; M., M. v
- Formats: PDF | DjVu— Help viewing DjVu Files
- Citation: 2 N.J.A.R. 145
- Decision Date: 1979
- Agency: DIVISION OF MEDICAL ASSISTANCE
- Synopsis: Petitioner's request for an easy lift chair was excluded from Medicaid coverage under N.J.A.C. 10:49-1.4 and 1.5 since the item was not medically necessary for diagnosis or treatment of a disease or injury. The chair was required for family convenience and was environmental equipment for which there is no reimbursement.
- Rule(s) Cited: 10:49-1.4 10:49-1.5 10:54-1.8
- Synopsis: Petitioner's request for an easy lift chair was excluded from Medicaid coverage under N.J.A.C. 10:49-1.4 and 1.5 since the item was not medically necessary for diagnosis or treatment of a disease or injury. The chair was required for family convenience and was environmental equipment for which there is no reimbursement.