N.J. Admin. Code § 13:75-4.4
Current through Register Vol. 56, No. 21, November 4, 2024
Section 13:75-4.4 - Medical and counseling fees(a) Except as permitted by 45:14B-6, the Office shall only pay for those medical, mental health, counseling, or other services provided by a licensed practitioner. The Office will pay out-of-pocket unreimbursable counseling and therapy expenses for each of the listed categories of providers not to exceed the following amounts. | 1. Psychiatrist | $ 150.00 per hourly session |
| 2. Unlicensed mental health practitioner |
| practicing in compliance with N.J.S.A. |
| 45:14B-6 (Psy.D., Ph.D., Ed.D.) | $ 110.00 per hourly session |
| 3. State-licensed psychologist | $ 110.00 per hourly session |
| 4. A.C.S.W. | $ 90.00 per hourly session |
| 5. Licensed marriage and |
| family therapist | $ 90.00 per hourly session |
| 6. M.S.W. | $ 80.00 per hourly session |
| 7. M.A. (jurisdictions other than New |
| Jersey |
| or in New Jersey practicing in compliance |
| with N.J.S.A. 45:14B-6 ) | $ 80.00 per hourly session |
| 8. Group counseling sessions, involving |
| three or more individuals conducted by |
| any of the credentialed providers in |
| (a)1-7 above | $ 50.00 per eligible |
| claimant per session |
(b) Except for cases determined to be catastrophic in nature, the maximum award for unreimbursed and unreimbursable counseling expenses shall be $ 20,000, notwithstanding the number of counseling sessions attended.(c) A medical, mental health, counseling, or other provider who accepts payment from the Office shall accept the Office's rate as the maximum allowable payment for that service and shall not seek or accept further payment from any other source if the total of payments accepted would exceed the maximum rate set by the Office for that service. N.J. Admin. Code § 13:75-4.4
Amended by 50 N.J.R. 841(a), effective 2/5/2018