New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 58 - NURSE MIDWIFERY SERVICES
Subchapter 2 - PROVISIONS FOR SPECIFIC SERVICES
Section 10:58-2.15 - Family planning services; Norplant System (NPS)
Universal Citation: NJ Admin Code 10:58-2.15
Current through Register Vol. 56, No. 18, September 16, 2024
(a) The Norplant System (NPS) is a Medicaid/NJ FamilyCare covered service when provided as follows:
1. The NPS is used only in reproductive age women with established regular menstrual cycles;
2. The Food and Drug Administration (FDA)-approved physician prescribing information is followed; and
3. Patient education and counseling are provided relating to the NPS, including pre and post-insertion instructions, indications, contraindications, benefits, risks, side effects, and other contraceptive modalities.
(b) A CNM shall not be reimbursed separately for an office visit when that visit was solely for the purpose of the insertion or removal of an NPS device. A CNM shall be reimbursed for the NPS device and the insertion and/or removal of the appropriate procedure codes related to the NPS system (see 10:58-3.6(a) ) .
(c) Only two insertions and two removals of the NPS per beneficiary shall be reimbursed during a five-year continuous period.
(d) The CNM shall not be reimbursed for the NPS in conjunction with other forms of contraception, for example, intrauterine device.
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