N.J. Admin. Code § 10:52-5.4
Current through Register Vol. 56, No. 24, December 18, 2024
Effective for services provided on or after October 1, 1996, the Director shall develop standard reimbursement amounts for each DRG based on the median cost per case for Medicaid/NJ FamilyCare fee-for-service beneficiaries. The standards shall be adjusted to account for significant differences in labor market areas. These standards are developed according to criteria set forth in N.J.A.C. 10:52-5.11 through 5.17. Standards so developed and issued for a rate year shall remain unaffected and no adjustments, modifications, or changes to the standards shall be made except as referenced in N.J.A.C. 10:52-5.10.
N.J. Admin. Code § 10:52-5.4