New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 52 - HOSPITAL SERVICES MANUAL
Subchapter 3 - HEALTHSTART-MATERNITY AND PEDIATRIC CARE SERVICES
Section 10:52-3.3 - HealthStart provider participation criteria
Current through Register Vol. 56, No. 18, September 16, 2024
(a) The following Medicaid/NJ FamilyCare fee-for-service-enrolled provider types shall be eligible to participate as HealthStart providers:
(b) In addition to New Jersey Medicaid/NJ FamilyCare fee-for-service programs' rules applicable to provider participation, HealthStart providers shall:
(c) In addition to (a) and (b) above, HealthStart maternity care providers with more than one care site or more than one maternity clinic at the same site that use different staff shall apply for a separate HealthStart Comprehensive Maternity Provider Certificate for each separate clinic. Only those sites which hold a HealthStart Comprehensive Maternity Provider Certificate shall be reimbursed for HealthStart services. Such sites:
(d) In addition to (a) and (b) above, HealthStart pediatric care providers shall participate in program evaluation and training activities including, but not limited to, documentation of outreach and follow-up activities in the patient's record.
(e) A site review may be required to ascertain an applicant's ability to meet the standards for a HealthStart Comprehensive Maternity Provider Certificate and to provide services in accordance with the New Jersey State Department of Health's "HealthStart Comprehensive Maternity Care Services Program Guidelines."
(f) A HealthStart Comprehensive Maternity Provider Certificate shall be reviewed by the New Jersey State Department of Health at least every 18 months from the date of issuance.
(g) An application for a HealthStart Comprehensive Maternity Provider Certificate is available from:
HealthStart Program
New Jersey State Department of Health
PO Box 364
Trenton, NJ 08625-0364
(h) A HealthStart Program Provider Agreement is available from:
Chief, Provider Enrollment Unit
Division of Medical Assistance
and Health Services
Mail Code #9
PO Box 712
Trenton, New Jersey 08625-0712