New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 58A - ADVANCED PRACTICE NURSE SERVICES
Subchapter 2 - PROVISION OF SERVICES
Section 10:58A-2.1 - General provisions
Current through Register Vol. 56, No. 18, September 16, 2024
(a) This subchapter describes the New Jersey Medicaid and NJ FamilyCare fee-for-service programs' policies and procedures for the provision of Medicaid and NJ FamilyCare fee-for-service services by APN providers. Services are separately identified and discussed only where unique characteristics or requirements exist. Unless indicated otherwise, reimbursement provisions are located in 10:58A-1.5, Basis for reimbursement.
(b) The New Jersey Medicaid/NJ FamilyCare fee-for-service program shall reimburse for APN services provided only when the patient is an eligible Medicaid/NJ FamilyCare fee-for-service beneficiary at the time services are rendered. APNs shall verify the patient's current eligibility status prior to providing services.