N.J. Admin. Code § 10:66-1.6

Current through Register Vol. 56, No. 11, June 3, 2024

Section 10:66-1.6 - Recordkeeping

(a) An individual record shall be prepared and retained by an independent clinic that fully discloses the kind and extent of the service provided to a Medicaid or NJ FamilyCare fee-for-service beneficiary, as well as the medical necessity for the service.

(b) At a minimum, a beneficiary's record shall include a progress note for each visit which supports the procedure code(s) billed, except where specified otherwise.

(c) Additional requirements governing medical records in an ambulatory surgical center are located in N.J.A.C. 10:66-5.

(d) The information described in this subsection shall be made available to the New Jersey Medicaid and NJ FamilyCare fee-for-service programs or is agents upon request.

N.J. Admin. Code § 10:66-1.6

Amended by R.1998 d.577, effective 12/7/1998.
See: 30 N.J.R. 3434(a), 30 N.J.R. 4225(b).
Inserted references to NJ KidCare fee-for-service and substituted references to beneficiaries for references to recipients throughout.
Amended by R.2004 d.208, effective 6/7/2004.
See: 36 N.J.R. 324(a), 36 N.J.R. 2834(a).
Rewrote (b); substituted "FamilyCare" for "KidCare" throughout.