N.J. Admin. Code § 10:94-4.4

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

Section 10:94-4.4 - Medicaid client

(a) The Commission shall not pay for low vision services, initial evaluation, aids, devices, or follow-up visits for Medicaid clients.

(b) Exceptions may be made on a case-by-case basis, if Medicaid refuses to pay, or if it is determined to be in the client's best interest for the Commission to accept financial responsibility.

(c) Responsibilities of the Commission's referring caseworker shall be:

1. To determine the appropriateness of a low vision evaluation;

2. To assist in locating a physician who accepts Medicaid;

3. To assist in arranging and getting client to the low vision appointment;

4. To send examining physician a copy of client's current eye report and blank low vision evaluation forms, when appropriate; and

5. To request copies of reports from examining physician when appropriate.

(d) The examining doctor shall be responsible for processing bill(s) for payment through Medicaid as per established Medicaid procedures.

N.J. Admin. Code § 10:94-4.4