How does the applicant prove that it is medically necessary that he be receiving the care being provided?
A PAS is ordered by the facility. Medicaid sends a nurse to examine the applicant to determine whether or not the care is medically necessary. The applicant or the applicant’s representative must be sure that the facility orders the PAS. New Jersey has an unwritten rule that the examination will take place within 30 days from the date the PAS is ordered.
