New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 50 - TRANSPORTATION SERVICES MANUAL
Subchapter 1 - GENERAL PROVISIONS
Section 10:50-1.14 - Recordkeeping

Universal Citation: NJ Admin Code 10:50-1.14

Current through Register Vol. 56, No. 18, September 16, 2024

(a) Each independent transportation provider shall prepare daily log sheets which shall be maintained for a period of at least five years from the date the service was rendered to the Medicaid/NJ FamilyCare beneficiary.

(b) The daily log sheets shall be made available for immediate review if requested by the Division.

(c) If a daily log sheet is not on file for each service, or does not contain all the required elements as indicated in this section, Medicaid/NJ FamilyCare payment for the service may be denied or subject to recoupment in accordance with N.J.A.C. 10:49 or this chapter.

(d) The daily log sheet shall contain, at a minimum, the following information:

1. The date;

2. The name of each Medicaid/NJ FamilyCare beneficiary;

3. The beneficiary's Health Benefits Identification (HBID) number;

4. The place of origin (address);

5. The destination (name of facility and address); and

6. A description of the emergency condition of the beneficiary.

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