New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 55 - PROSTHETIC AND ORTHOTIC SERVICES
Subchapter 1 - GENERAL PROVISIONS
Section 10:55-1.3 - Requirements for approval as a provider of prosthetic and orthotic services
Current through Register Vol. 56, No. 18, September 16, 2024
(a) In order to be a fully approved New Jersey Medicaid and NJ FamilyCare fee-for-service provider of prosthetic and orthotic services, the applicant shall:
(b) In order to be granted "provisional" approval by the New Jersey Medicaid and NJ FamilyCare fee-for-service programs, facilities and/or personnel whose application for accreditation/certification is pending with the American Board for Certification in Orthotics, Prosthetics and Pedorthics, Incorporated, the applicant shall:
(c). "Provisional" status shall be approved for a period of one year commencing with the date of the letter of acceptance by the American Board for Certification in Orthotics, Prosthetics and Pedorthics, Incorporated, and shall expire, without further notification, if certification has not been obtained.
(d) If a certified facility loses its certified prosthetist(s), orthotist(s) and/or pedorthist(s), the fiscal agent shall be notified within five working days of the loss. A grace period of 180 days from the date of such loss shall be granted for demonstrating recertification before provider eligibility is terminated. In the interval between the loss and recertification of personnel, the minimum requirement for continuing acceptable Medicaid and NJ FamilyCare fee-for-service provider eligibility is that fabricated appliances must be fabricated by personnel whose board eligibility is established.