New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 62 - VISION CARE SERVICES MANUAL
Subchapter 1 - EYE CARE: PROFESSIONAL SERVICES
Section 10:62-1.20 - Personal contribution to care requirements for NJ FamilyCare-Plan C and copayments for NJ FamilyCare-Plan D
Current through Register Vol. 56, No. 18, September 16, 2024
(a) General policies regarding the collection of personal contribution to care for NJ FamilyCare-Plan C and copayments for NJ FamilyCare-Plan D services are set forth at N.J.A.C. 10:49-9.
(b) Personal contribution to care for NJ FamilyCare-Plan C services is $ 5.00 per visit for office visits, except when the service is provided for preventive care.
(c) Vision care professionals shall not charge a personal contribution to care for services provided to newborns who are covered under fee-for-service for Plan C; or for preventive services.
(d) There shall be a $ 5.00 copayment per visit required for vision care services for Plan D enrollees.
(e) Vision care professionals shall collect the copayment specified in (d) above except as provided in (f) below. Copayments shall not be waived.
(f) Vision care professionals shall not charge a copayment for services provided to newborns who are covered under fee-for-service for Plan D.