N.J. Admin. Code § 10:74-3.12

Current through Register Vol. 56, No. 21, November 4, 2024

Section 10:74-3.12 - Availability of services

(a) Each contractor shall demonstrate the availability and accessibility of institutional facilities and professional, allied and supporting paramedical personnel to perform the agreed-upon services.

(b) Each contractor shall ensure that no distinctions will be made with regard to quality of service or availability of covered benefits between Medicaid/NJ FamilyCare enrollees under this subchapter and any other parties served by the contractor.

(c) Each Medicaid/NJ FamilyCare enrollee shall be given the choice of a primary care provider who will supervise and coordinate his or her care.

(d) Generally, the contractor shall have only one enrollment area for all Medicaid/NJ FamilyCare parties served, including those served under these regulations. Modifications of such enrollment area for purposes of contracting under this subchapter shall be achieved by means of contract amendment.

N.J. Admin. Code § 10:74-3.12

Amended by 51 N.J.R. 1359(a), effective 8/19/2019