New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 58A - ADVANCED PRACTICE NURSE SERVICES
Subchapter 3 - HEALTHSTART
Section 10:58A-3.4 - HealthStart provider participation criteria
Current through Register Vol. 56, No. 18, September 16, 2024
(a) The following Medicaid-enrolled or NJ FamilyCare fee-for-service enrolled provider types are eligible to participate as HealthStart providers: independent clinics, hospital outpatient departments, local health departments meeting the New Jersey State Department of Health and Senior Services' Improved Pregnancy Outcome criteria and/or approved as Child Health Conferences, physicians and physician groups, certified nurse midwives and APNs.
(b) In addition to New Jersey Medicaid/NJ FamilyCare fee-for-service program rules applicable to provider participation, HealthStart APN providers shall:
(c) In addition to (a) and (b) above, a HealthStart APN pediatric care provider shall participate in program evaluation and training activities including, but not limited to, documentation of outreach and follow-up activities in the patient's record.
(d) A site review may be required to ascertain an applicant's ability to meet the standards for a HealthStart Provider Certificate and to provide services in accordance with the New Jersey State Department of Health and Senior Services' Guidelines for HealthStart Providers in the appropriate area.
(e) A HealthStart Provider Certificate will be reviewed by the New Jersey State Department of Health and Senior Services at least every 18 months from the date of issuance.
(f) An application for a HealthStart Provider Certificate can be downloaded free of charge from the New Jersey State Department of Health and Senior Services' website at http://web.doh.state.nj.us/apps2/forms/subforms.aspx?pro=fhs#healthstart. Persons who do not have access to the internet please contact the address below to request a copy of the application: HealthStart Program
New Jersey State Department of Health and Senior Services
50 East State Street
PO Box 364
Trenton, NJ 08625-0364
(g) Guidelines for HealthStart services, when rendered by an APN employed by a clinic, physician or hospital, can be found at Independent Clinic Services, N.J.A.C. 10:66; Physician Services, N.J.A.C. 10:54; or Hospital Services, N.J.A.C. 10:52; respectively, and the guidelines for qualifications of HealthStart providers can be found at N.J.A.C. 10:66, Independent Clinic Services.
