N.J. Admin. Code § 10:58A-1.1
Current through Register Vol. 57, No. 1, January 6, 2025
Section 10:58A-1.1 - Introduction: certified advanced practice nurse (APN)(a) This chapter is concerned with the provision of health care services by certified advanced practice nurses (APNs), in accordance with the New Jersey Medicaid/NJ FamilyCare fee-for-service program's policies and procedures and the standards set forth by the New Jersey Legislature (N.J.S.A. 45:11-23 et seq., and P.L. 1991, c. 377, as revised at P.L. 1999, c. 85) and by the New Jersey Board of Nursing (N.J.A.C. 13:37-7). Throughout this chapter, all use of the terms "advanced practice nurse" and "APN" refer to a certified advanced practice nurse because all advanced practice nurses are required to be certified.(b) An approved New Jersey Medicaid/NJ FamilyCare fee-for-service APN provider may be reimbursed for medically necessary covered services provided within the scope of the APNs' license and an approved New Jersey Medicaid/NJ FamilyCare fee-for-service Program Provider Agreement.(c) An APN may enroll in the New Jersey Medicaid/NJ FamilyCare fee-for-service program and provide covered, medically necessary services as an independent APN, or may provide such services as part of another entity, such as a hospital or clinic, physician group practice, or a mixed clinical practitioner practice.(d) Unless otherwise stated, the rules of this chapter apply to Medicaid/NJ FamilyCare fee-for-service beneficiaries and to Medicaid/NJ FamilyCare fee-for-service services that are not the responsibility of the managed care organization (MCO) with which the beneficiary is enrolled. Advanced practice nurse services that are to be provided by the beneficiary's selected MCO are governed and administered by that MCO.N.J. Admin. Code § 10:58A-1.1
Amended by R.2000 d.265, effective 7/3/2000.
See: 32 N.J.R. 1127(a), 32 N.J.R. 2483(a).
Inserted references to NJ KidCare fee-for-service throughout; and added (d).
Amended by R.2004 d.334, effective 9/7/2004.
See: 36 N.J.R. 312(a), 36 N.J.R. 4136(a).
Substituted references to advanced practice nurses for references to certified nurse practitioners/clinical nurse specialists and substituted references to NJ FamilyCare for references to NJ KidCare throughout.
Amended by R.2004 d.409, effective 11/1/2004.
See: 35 N.J.R. 4977(a), 36 N.J.R. 4968(a).
Amended by R.2005 d.406, effective 11/21/2005.
See: 37 N.J.R. 2329(a), 37 N.J.R. 4445(a).
In (c), substituted " independent APN" for "independent practitioner" and added "clinical" preceding "practitioner practice."
Amended by R.2011 d.119, effective 4/18/2011.
See: 42 N.J.R. 2890(a), 43 N.J.R. 1015(a).
Section was "Introduction: advanced practice nurse (APN)". In (a), inserted the first occurrence of "certified", substituted "et seq." for "et al.", "c. 377" for "c.377" and "c. 85" for "c.85", and inserted the last sentence; in (b), substituted "the APNs' license and an" for "her or his license, and her or his"; and in (d), substituted the first occurrence of "that" for the first occurrence of "which", inserted "(MCO)" preceding "with which" and substituted "MCO" for "managed care organization (MCO)" following "selected".Amended by 56 N.J.R. 2191(a), effective 11/4/2024