New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 59 - MEDICAL SUPPLIER MANUAL
Subchapter 1 - MEDICAL SUPPLIES AND DURABLE MEDICAL EQUIPMENT
Section 10:59-1.15 - Apnea monitor
Universal Citation: NJ Admin Code 10:59-1.15
Current through Register Vol. 56, No. 6, March 18, 2024
(a) Apnea monitors shall require prior authorization (PA) for initial certification and subsequent recertification.
1. To obtain authorization, providers shall complete the "Home Apnea Monitor Certification" form FD-287 which requires the prescriber's signature. The FD-287 may be used in lieu of a prescription by suppliers.
(b) Coverage of apnea monitors shall be limited to use by infants not otherwise monitored for the same purpose by another device.
(c) Reimbursement for apnea monitors is included in the NF's per diem, and shall not be covered separately.
(d) Suppliers shall provide a properly functioning monitor in an environment that assures its safe and effective use.
(e) Apnea monitors shall be reimbursed on a monthly rental basis. The rental payment shall include, but not be limited to, belt lead wires, electrodes, patient connecting cable, and battery, if appropriate.
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