N.J. Admin. Code § 10:62-1.3

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

Section 10:62-1.3 - Providers of professional services

(a) Within the restrictions of their respective licensure, the following are eligible providers of eye care upon fulfilling the Enrollment Process requirements in N.J.A.C. 10:49-3.2:

1. Ophthalmologists or optometrists licensed in the State of New Jersey;

2. Ophthalmologists or optometrists in another state who are duly licensed in that state;

3. Independent clinics approved by the New Jersey Medicaid/NJ FamilyCare fee-for-service programs to render eye care services; and

4. Hospitals meeting the definition of "hospital" at N.J.A.C. 10:52-1.2.

(b) In order to participate in the l^ledicaid/NJ FamilyCare Program, a provider shall:

1. Have a valid National Provider Identifier (NPI) number obtained from the National Plan and Provider Enumeration System (NPPES);

2. Have a valid taxonomy code obtained from the NPPES; and

3. Remain a provider in good standing by successfully completing provider revalidation when requested by the State IMedicaid Agency.

N.J. Admin. Code § 10:62-1.3

Amended by 49 N.J.R. 2279(b), effective 7/17/2017

Amended by 56 N.J.R. 2079(c), effective 10/21/2024