New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 49 - ADMINISTRATION MANUAL
Subchapter 9 - PROVIDER AND BENEFICIARY'S RIGHTS AND RESPONSIBILITIES; ADMINISTRATIVE PROCESS
Section 10:49-9.6 - Free choice by beneficiary and provider
Universal Citation: NJ Admin Code 10:49-9.6
Current through Register Vol. 56, No. 18, September 16, 2024
(a) The concept of freedom of choice shall apply to both provider and beneficiary.
1. A Medicaid fee-for-service beneficiary
shall be free to choose providers of service who meet program standards and who
elect to participate in the Medicaid program. The MACC shall assist any
beneficiary in obtaining services if the beneficiary cannot locate a provider.
Exception: See
10:49-14.2, Special Status
programs.
2. A Medicaid provider
who accepts a Medicaid beneficiary as a patient under the Medicaid program
shall accept the program's policies and reimbursement for all covered services
and/or items provided or delivered during that period when, by mutual
agreement, the beneficiary is under the provider's care. In the provision of
professional services, the provider shall be bound by the code of ethics
governing his or her profession.
Disclaimer: These regulations may not be the most recent version. New Jersey may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.