N.J. Admin. Code § 10:59-1.5

Current through Register Vol. 56, No. 24, December 18, 2024

Section 10:59-1.5 - Policy for providing medical supplies and DME

(a) Medical supplies and equipment require a legible, dated prescription or a Certificate of Medical Necessity (CMN) personally signed by the prescribing practitioner. Either document shall contain the following information:

1. The beneficiary's name, address and Medicaid/NJ FamilyCare eligibility identification number; and

2. A description of the specific supplies and/or equipment prescribed;

i. For example, the phrase "wheelchair" or "patient needs wheelchair" is insufficient. The order shall describe the type and style of the wheelchair.

3. The length of time the medical equipment items or supplies are required;

4. A diagnosis and summary of the patient's physical condition to support the need for the item(s) prescribed; and

5. The prescriber's name, address and signature.

(b) Other information in addition to (a) above may be required for specific items and services, and is described in other sections of this chapter which are related to coverage of the specific item or service.

(c) The documentation required in (a) and (b) above shall be maintained on file for a minimum of five years from the date the service was rendered.

N.J. Admin. Code § 10:59-1.5

Amended by R.2001 d.64, effective 2/20/2001.
See: 32 N.J.R. 4098(a), 33 N.J.R. 661(c).
In (a)1, substituted "beneficiary's" for "recipient's" and inserted "eligibility identification" preceding "number".
Amended by R.2006 d.297, effective 9/5/2006.
See: 38 N.J.R. 1371(b), 38 N.J.R. 3578(a).
In (a)1, inserted "/NJ Family Care".