N.J. Admin. Code § 10:54-1.1

Current through Register Vol. 56, No. 19, October 7, 2024

Section 10:54-1.1 - Purpose and scope

(a)The Physician Services chapter outlines the policies and procedures of the New Jersey Medicaid/NJ FamilyCare program for a physician who prescribes, provides directly, or personally directs medically necessary health services to Medicaid/NJ FamilyCare beneficiaries. The policies and procedures in this chapter foster the delivery of services in the most efficient and cost effective manner consistent with good medical practice.

(b) As a Medicaid/NJ FamilyCare provider, the physician may also participate in special programs, such as the HealthStart (Maternity and Pediatric Services), and managed health care, which is provided to designated beneficiaries in selected counties, in accordance with the provisions of N.J.A.C. 10:49-20 and 10:74, respectively.

(c) Medicaid/NJ FamilyCare rules regarding physicians who have a collaborative arrangement with advanced practice nurses (APNs) may be found in the New Jersey Administrative Code at N.J.A.C. 10:58A. Medicaid/NJ FamilyCare rules regarding physicians who employ APNs may be found in N.J.A.C. 10:54 (this chapter).

(d) Medicaid/NJ FamilyCare rules covering independent certified nurse midwives (CNM) may be found in the New Jersey Administrative Code at N.J.A.C. 10:58. Medicaid/NJ FamilyCare rules regarding physicians who employ CNMs may be found in N.J.A.C. 10:54 (this chapter).

N.J. Admin. Code § 10:54-1.1

Amended by R.2001 d.51, effective 2/5/2001.
See: 32 New Jersey Register 3929(a), 33 New Jersey Register 555(a).
In (a), substituted "beneficiaries" for "recipients" following "services to Medicaid"; in (b), deleted a reference to Garden State Health Plan and substituted "beneficiaries" for "recipients" preceding "in selected counties".
Amended by R.2004 d.334, effective 9/7/2004.
See: 36 New Jersey Register 312(a), 36 New Jersey Register 4136(a).
In (c), substituted references to APNs for references to CNPs/CNSs throughout; inserted references to NJ FamilyCare throughout.