New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 55 - PROSTHETIC AND ORTHOTIC SERVICES
Subchapter 1 - GENERAL PROVISIONS
Section 10:55-1.1 - Introduction
Current through Register Vol. 56, No. 6, March 18, 2024
(a) This chapter of the manual N.J.A.C. 10:55 outlines the rules of the New Jersey Medicaid and NJ FamilyCare programs relevant to the provision of prosthetic and orthotic services to Medicaid and NJ FamilyCare fee-for-service beneficiaries. It also lists the specific requirements which must be followed in order to be approved and to participate as a New Jersey Medicaid and NJ FamilyCare provider of prosthetic and orthotic services.
(b) The Prosthetic and Orthotic Services Manual, N.J.A.C. 10:55, does not include rules for the provision to Medicaid and NJ FamilyCare beneficiaries of dentures, artificial eyes, or hearing aids. These services are covered in the New Jersey Medicaid programs' Dental Services Manual, N.J.A.C. 10:56, Vision Care Services Manual, N.J.A.C. 10:62, and the Hearing Aid Services Manual, N.J.A.C. 10:64, respectively.
(c) Unless otherwise stated, the rules of this chapter apply to Medicaid and NJ FamilyCare-Plan A fee-for service beneficiaries. Prosthetic and orthotic services provided to Medicaid and NJ FamilyCare beneficiaries enrolled in a managed care organization (MCO) are governed and administered by that MCO.
