N.J. Admin. Code § 10:67-2.2

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

Section 10:67-2.2 - Provisions for services rendered in specific settings including institutional settings

(a) Psychological services rendered to a Medicaid/NJ FamilyCare patient by an approved community mental health agency or by an approved independent clinic, or under the auspices of such agency or facility, or by a hospital outpatient department shall be billed directly by the agency or clinic.

1. All psychological services rendered to a patient of a hospital outpatient department shall be considered hospital costs, whether or not the psychologist receives compensation from the hospital.

(b) A psychologist employed and/or under contract with a facility including a general hospital, a private psychiatric, or State or county (Government) psychiatric hospital, an intermediate care facility for individuals with intellectual disabilities, or a residential treatment center (that has a provider agreement with the New Jersey Medicaid/NJ FamilyCare program) may not bill directly for psychological services provided to Medicaid/NJ FamilyCare patients.

(c) When psychological services are provided to persons in a nursing facility, payment will not be made for any services rendered by an owner, administrator, stockholder of the company or corporation, or any person who has a direct financial interest in the institution.

N.J. Admin. Code § 10:67-2.2

Amended by R.2006 d.348, effective 10/2/2006.
See: 38 N.J.R. 2007(a), 38 N.J.R. 4219(b).
In introductory paragraph of (a) and in (b), inserted "/NJ FamilyCare".

Amended by 53 N.J.R. 2224(a), effective 12/20/2021