New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 57 - PODIATRY SERVICES
Subchapter 1 - GENERAL PROVISIONS
Section 10:57-1.6 - Basis of reimbursement
Current through Register Vol. 56, No. 18, September 16, 2024
(a) Reimbursement for podiatry services covered under the New Jersey Medicaid/NJ FamilyCare fee-for-service program shall be on the basis of the customary charge, not to exceed a fixed fee schedule determined reasonable by the Commissioner, Department of Human Services (see N.J.A.C. 10:57-3for fee schedule), and further limited by Federal policy relative to payment of practitioners and other individual providers. In no event shall the payment exceed the charge by the provider for identical services to other governmental agencies, or other groups or individuals in the community.
(b) Any podiatric physician who meets the above cited qualifications listed in N.J.A.C. 10:57-1.3as a specialist and the requirements specified in N.J.A.C. 10:57-1.4shall be eligible for specialist reimbursement.
