N.J. Admin. Code § 10:58A-2.1

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

Section 10:58A-2.1 - General provisions

(a) This subchapter describes the New Jersey Medicaid/NJ FamilyCare fee-for-service program's policies and procedures for the provision of Medicaid/NJ FamilyCare fee-for-service services by APN providers. Services are separately identified and discussed only where unique characteristics or requirements exist. Unless indicated otherwise, reimbursement provisions are located at N.J.A.C. 10:58A-1.5, Basis for reimbursement.

(b) The New Jersey Medicaid/NJ FamilyCare fee-for-service program shall reimburse for APN services provided only when the patient is an eligible Medicaid/NJ FamilyCare fee-for-service beneficiary at the time services are rendered. APNs shall verify the patient's current eligibility status prior to providing services.

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.
Amended by R.2004 d.334, effective 9/7/2004.
See: 36 N.J.R. 312(a), 36 N.J.R. 4136(a).
Amended by R.2004 d.409, effective 11/1/2004.
See: 35 N.J.R. 4977(a), 36 N.J.R. 4968(a).
In (b), substituted "beneficiary" for "client" following "fee-for-service".
Amended by R.2011 d.119, effective 4/18/2011.
See: 42 N.J.R. 2890(a), 43 N.J.R. 1015(a).
In (a), substituted "APN" for "advanced practice nurse".

Amended by 56 N.J.R. 2191(a), effective 11/4/2024