New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 58 - NURSE MIDWIFERY SERVICES
Subchapter 2 - PROVISIONS FOR SPECIFIC SERVICES
Section 10:58-2.12 - Clinical laboratory services; CNM referral to independent laboratory
Universal Citation: NJ Admin Code 10:58-2.12
Current through Register Vol. 56, No. 18, September 16, 2024
(a) When the CNM refers a laboratory test to an independent clinical reference laboratory:
1. The clinical reference laboratory shall be certified under CLIA requirements to perform the required laboratory test(s) (see Section 1902(a)9 of the Social Security Act; 42 U.S.C. 1396 a(a)9; 42 C.F.R. 440.30, 493);
2. The clinical laboratory shall be licensed by the New Jersey State Department of Health in accordance with N.J.A.C. 8:44 and 8:45, or comparable agency in the state in which the laboratory is located; and
3. The clinical laboratory shall be approved for participation as an independent laboratory provider by the New Jersey Medicaid/NJ FamilyCare-Plan A fee-for-service programs.
(b) Independent clinical laboratories shall bill the New Jersey Medicaid/NJ FamilyCare-Plan A fee-for-service programs for all reference laboratory work performed on their premises. The CNM will not be reimbursed for laboratory work performed by a reference laboratory.
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