N.J. Admin. Code § 10:58-1.2

Current through Register Vol. 57, No. 1, January 6, 2025

Section 10:58-1.2 - Scope

(a) The rules in this chapter govern reimbursement made directly to a nurse midwife provider. Reimbursement shall not be made to a certified nurse midwife unless the nurse midwife has been approved as a Medicaid/NJ FamilyCare provider, in accordance with the provisions of this chapter and applicable provisions of N.J.A.C. 10:49.

(b) Reimbursement may be made for services provided by a certified nurse midwife employed by a physician or physician/practitioner group (N.J.A.C. 10:54), by an independent clinic (N.J.A.C. 10:66), or by a hospital (N.J.A.C. 10:52), in accordance with the applicable rules.

(c) The rules in this chapter govern the provision of fee-for-service nurse midwifery services provided to Medicaid/NJ FamilyCare-Plan A fee-for-service beneficiaries. Nurse midwifery services provided to beneficiaries who are enrolled in a managed care organization (MCO) shall be governed by the individual MCO contract.

N.J. Admin. Code § 10:58-1.2

Amended by R.2001 d.204, effective 6/18/2001.
See: 33 N.J.R. 1160(a), 33 N.J.R. 2188(a).
In (a), inserted "/NJ FamilyCare" following "Medicaid"; added (c).

Amended by 53 N.J.R. 1843(c), effective 11/1/2021