New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 57 - PODIATRY SERVICES
Subchapter 1 - GENERAL PROVISIONS
Section 10:57-1.4 - Provisions for provider participation

Universal Citation: NJ Admin Code 10:57-1.4

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

(a) In order to participate in the Medicaid/NJ FamilyCare programs, a podiatrist shall apply to, and be approved by, the New Jersey Medicaid/NJ FamilyCare program. Application for approval by the New Jersey Medicaid/NJ FamilyCare program requires completion and submission of the "Medicaid Provider Application" (FD-20) and the "Medicaid Provider Agreement" (FD-62).

1. The documents referenced in (a) above are located as Forms #8 and #9 in the Appendix at the end of the Administration Chapter (N.J.A.C. 10:49), and may be obtained from, and submitted to:

DXC Technology

Provider Enrollment

PO Box 4804

Trenton, New Jersey 08650-4804

(b) In order to be approved as a Medicaid/NJ FamilyCare participating provider, the podiatrist shall be licensed by the State of New Jersey Board of Medical Examiners (See N.J.A.C. 13:35-3).

1. An out-of-State podiatrist must have comparable documentation under the applicable State requirements of the state in which the services are provided.

(c) In order to be approved as a specialist under the Medicaid/NJ FamilyCare program, a licensed podiatrist shall possess either of the following:

1. A specialty certification/permit issued by the specialty board as recognized by the American Podiatric Medical Association; or

2. A copy of the notification of board eligibility by the specialty board as recognized by the American Podiatric Medical Association.

(d) A photocopy of the current license, certification/permit or notification of board eligibility by the specialty shall be provided at the time of the application for enrollment.

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