N.J. Admin. Code § 10:57-1.7

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

Section 10:57-1.7 - Personal contribution to care requirements for NJ FamilyCare-Plan C and copayments for NJ FamilyCare-Plan D

(a) General policies regarding the collection of personal contribution to care for NJ FamilyCare-Plan C and copayments for NJ FamilyCare-Plan D are set forth at N.J.A.C. 10:49-9.

(b) Personal contribution to care for NJ FamilyCare-Plan C services is $5.00 per visit for podiatric services.

1. A podiatric visit is defined as a face-to-face contact with a medical professional, including services provided under the supervision of the podiatrist, which meets the documentation requirements of this chapter and allows the podiatrist to request reimbursement for services.

2. Podiatric visits include podiatric services provided in the office, patient's home, or any other site, except any site of the hospital, where the child may have been examined by the podiatrist or the podiatric staff.

3. The podiatrist shall collect one personal contribution to care per podiatric visit, regardless of the number of podiatric services provided in the session.

(c) The copayment for podiatric services under NJ FamilyCare-Plan D shall be $5.00 per visit.

(d) Podiatrists shall collect the copayment specified in (c) above. Copayments shall not be waived.

N.J. Admin. Code § 10:57-1.7

New Rule, R.1998 d.154, effective 2/27/1998 (operative March 1, 1998; to expire August 31, 1998).
See: 30 N.J.R. 1060(a).
Former N.J.A.C. 10:57-1.7, Record keeping, recodified to N.J.A.C. 10:57-1.8.
Adopted concurrent proposal, R.1998 d.487, effective 8/28/1998.
See: 30 N.J.R. 1060(a), 30 N.J.R. 3519(a).
Readopted the provisions of R.1998 d.154 without change.
Amended by R.1999 d.211, effective 7/6/1999 (operative August 1, 1999).
See: 31 N.J.R. 998(a), 31 N.J.R. 1806(a), 31 N.J.R. 2879(b).
In (a), added reference to copayments for NJ KidCare-Plan D; added (c) and (d).
Amended by R.2006 d.240, effective 7/3/2006.
See: 38 N.J.R. 1126(a), 38 N.J.R. 2805(a).
Section was "Personal contribution to care requirements for NJ KidCare-Plan C and copayments for NJ KidCare-Plan D". Substituted "FamilyCare" for "KidCare" throughout; and in (b), substituted "per" for "a".