N.J. Admin. Code Tit. 10, ch. 166, app A
See: 48 N.J.R. 2751(a), 49 N.J.R. 1227(a).
Appendix was "New Jersey Department of Health and Senior Services Pediatric Medical Day Care Services - Primary Health Care Provider Report On Medicaid Beneficiary".
N.J. Admin. Code Tit. 10, ch. 166, app A