N.J. Admin. Code § 10:58-2.6

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

Section 10:58-2.6 - Evaluation and management: CNM home services and house calls

(a) The home services recognized as "house calls" refer to a practitioner visit to an individual who would be too ill to go to a practitioner's office and/or is "home bound," as determined by the attending physician, due to his or her physical condition. CNMs shall be reimbursed for house calls.

(b) For purposes of Medicaid/NJ FamilyCare-Plan A fee-for-service reimbursement, "home visits" apply when the provider visits Medicaid/NJ FamilyCare-Plan A fee-for-service beneficiaries who do not qualify as "home bound." CNMs are not reimbursed for home visits.

N.J. Admin. Code § 10:58-2.6

Amended by R.2001 d.204, effective 6/18/2001.
See: 33 N.J.R. 1160(a), 33 N.J.R. 2188(a).
Inserted "NJ FamilyCare-Plan A fee-for-service" following "Medicaid" throughout section.