New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 62 - VISION CARE SERVICES MANUAL
Subchapter 1 - EYE CARE: PROFESSIONAL SERVICES
Section 10:62-1.2 - Definitions

Universal Citation: NJ Admin Code 10:62-1.2
Current through Register Vol. 56, No. 18, September 16, 2024

The following words and terms, when used in this subchapter, shall have the following meanings unless the context clearly indicates otherwise:

"Clinical laboratory services" means professional and technical laboratory services performed by a clinical laboratory certified by CMS in accordance with the Federal Clinical Laboratory Improvement Act (CLIA), 42 U.S.C. § 263a and ordered by a physician or other licensed practitioner, within the scope of his or her practice, as defined by the laws of the State of New Jersey and/or of the state in which the practitioner practices.

"CMS" means the Federal Centers for Medicare and Medicaid Services.

"Low vision" means reduced visual acuity and/or abnormal visual fields from a disorder in the visual system.

"Low vision client" means an individual with an eye disorder, which reduces visual performance and cannot be corrected by conventional methods.

"Low vision follow-up examination" means examinations provided to clients with aids, to monitor progress and problems.

"Low vision service" means a series of comprehensive tests, evaluations, and multidisciplinary referrals provided for the low vision patient, which has as its objective a prescription of low vision aids and instruction/training programs to enhance the low vision patient's performance.

"Ophthalmologist" means a fully licensed medical doctor who has been recognized by the New Jersey Medicaid/NJ FamilyCare fee-for-service programs as a specialist in ophthalmology.

"Optometrist" means any person who is licensed by the New Jersey State Board of Optometry to engage in the practice of optometry, or licensed to engage in the practice of optometry in the state in which he or she performs such functions.

"Practitioner" means a licensed ophthalmologist or optometrist, acting within the scope of licensure.

"Transfer" means the relinquishing of responsibility for the continuing care of the beneficiary by one practitioner and the assumption of such responsibility by another practitioner.

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