N.J. Admin. Code § 10:54-5.37

Current through Register Vol. 56, No. 11, June 3, 2024

Section 10:54-5.37 - Rehabilitative services; occupational therapy

(a) Occupational therapy is a service prescribed by a physician and provided to a Medicaid/NJ FamilyCare beneficiary by or under the direction of a qualified occupational therapist and includes the necessary supplies and equipment.

1. A qualified occupational therapist is an individual who is:

i. Registered by the American Occupational Therapy Certification Board (AOTCB); or

ii. A graduate of a program in occupational therapy approved by the Committee on Allied Health Education of the American Medical Association and engaged in the supplemental clinical experience required before registration by the American Occupational Therapy Association (AOTA).

2. If treatment or services are provided in a state other than New Jersey, the occupational therapist shall meet the requirements of that state, including licensure if applicable, and all applicable Federal requirements.

(b) Occupational therapy shall be reimbursed when provided in a physician's office or settings other than a physician's office.

N.J. Admin. Code § 10:54-5.37

Amended by R.2001 d.51, effective 2/5/2001.
See: 32 New Jersey Register 3929(a), 33 New Jersey Register 555(a).
In (a), substituted "beneficiary" for "recipient" following "provided to a Medicaid" in the introductory paragraph.
Amended by R.2003 d.69, effective 2/3/2003.
See: 34 New Jersey Register 3183(a), 35 New Jersey Register 888(a).
In (a), inserted "Medicaid/NJ FamilyCare" for "Medicaid" throughout; in (b), inserted "a physician's office or" preceding "settings".