New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 50 - TRANSPORTATION SERVICES MANUAL
Subchapter 1 - GENERAL PROVISIONS
Section 10:50-1.16 - Program integrity

1. Each claim, certification form, and daily log sheet entry shall correspond to an actual trip provided to a Medicaid/NJ FamilyCare beneficiary;

2. No remuneration, compensation, or other consideration shall be solicited or accepted from any Medicaid/NJ FamilyCare-eligible beneficiary for services delivered;

3. An independent transportation provider shall not use any marketing material that includes any reference to Medicaid/NJ FamilyCare coverage unless that material has been approved by the Division prior to its use;

4. An independent transportation provider shall report immediately to the Office of the State Comptroller, Medicaid Fraud Division, any evidence of fraud or abuse related to Medicaid/NJ FamilyCare services or beneficiaries. The Medicaid Fraud Division Hotline, 1-888-937-2835, is available to report allegations of fraud and abuse. Suspected fraud and abuse can also be reported on the New Jersey State Comptroller's website: www.state.nj.us/comptroller/divisions/medicaid. The provider shall cooperate with any investigation that may result;

5. An independent transportation provider shall abide by the provisions of N.J.A.C. 10:49-7.4 and 7.5, concerning the use of factors, service bureaus, and management agencies;

6. An independent transportation provider shall abide by the provisions of N.J.A.C. 10:49-11 and 12, concerning exclusion from participation in the New Jersey Medicaid/NJ FamilyCare program and provider reinstatement; and

7. An independent transportation provider shall not release any data pertaining to transportation services without the prior written approval of authorized personnel of the Division or other authorized agency of the State of New Jersey. Data shall be released only in accordance with the explicit written instructions from the Division or other authorized agency. No results of the program shall be released without the prior written approval of the Division or other authorized agency of the State of New Jersey, and such results shall be released only to persons designated in that written approval.