New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 50 - TRANSPORTATION SERVICES MANUAL
Subchapter 1 - GENERAL PROVISIONS
Section 10:50-1.18 - Performance standards; termination of services, privileges and/or provider agreement

Universal Citation: NJ Admin Code 10:50-1.18

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

(a) An independent transportation provider shall ensure that each Medicaid/NJ FamilyCare beneficiary is picked up without delay and is transported by a safe driver, in a safe manner, and in accordance with the requirements of all State and Federal laws, rules, and regulations.

(b) The following shall result in the Division's immediate termination of the Provider Agreement and immediate termination of service from the provider, and may also result in denial, or recoupment, of payment to the provider:

1. Failure to maintain a business location and a telephone dispatch service, as required under this chapter;

2. Failure to provide to the Division, within five working days, notice of any change of address, telephone number, or cessation of service;

3. Failure to provide door-through-door escort services, if required by a beneficiary; and

4. Any violation of any provision of any State or Federal law, rule, or regulation that affects, or threatens to affect, the life, health, or safety of any Medicaid/NJ FamilyCare beneficiary or any representative of the State.

(c) Other violations of N.J.A.C. 10:49 or this chapter, or of any other State or Federal law, rule, or regulation, concerning an independent transportation provider's performance including, but not limited to, unavailability for dispatching or intentional arrival delays shall result in sanctions including, but not limited to, termination of the Provider Agreement, denial or recoupment of payment and/or termination of billing, and service delivery privileges, such as electronic billing.

(d) Confirmed complaints concerning an independent transportation provider's failure to provide service to an eligible Medicaid/NJ FamilyCare beneficiary may, depending upon the circumstances, result in termination of the Provider Agreement.

(e) In addition to the remedies provided above, the Division may apply any remedy contained in any other law, rule or regulation including, but not limited to, N.J.A.C. 10:49-11, 13 and 14.

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