New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 58 - NURSE MIDWIFERY SERVICES
Subchapter 1 - GENERAL PROVISIONS
Section 10:58-1.2 - Scope

Universal Citation: NJ Admin Code 10:58-1.2

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

(a) The rules in this chapter govern reimbursement made directly to a nurse midwife provider. Reimbursement shall not be made to a certified nurse midwife unless the nurse midwife has been approved as a Medicaid/NJ FamilyCare provider, in accordance with the provisions of this chapter and applicable provisions of N.J.A.C. 10:49.

(b) Reimbursement may be made for services provided by a certified nurse midwife employed by a physician or physician/practitioner group (N.J.A.C. 10:54), by an independent clinic (N.J.A.C. 10:66), or by a hospital (N.J.A.C. 10:52), in accordance with the applicable rules.

(c) The rules in this chapter govern the provision of fee-for-service nurse midwifery services provided to Medicaid/NJ FamilyCare-Plan A fee-for-service beneficiaries. Nurse midwifery services provided to beneficiaries who are enrolled in a managed care organization (MCO) shall be governed by the individual MCO contract.

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