New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 66 - INDEPENDENT CLINIC SERVICES
Appendix - APPENDIX

FISCAL AGENT BILLING SUPPLEMENT

AGENCY NOTE: The Fiscal Agent Billing Supplement is appended as a part of this chapter but is not reproduced in the New Jersey Administrative Code. The Fiscal Agent Billing Supplement can be downloaded free of charge at www.njmmis.com. When revisions are made to the Fiscal Agent Billing Supplement, a revised version will be placed on the website and copies shall be filed with the Office of Administrative Law.

If you do not have access to the Internet and require a copy of the Fiscal Agent Billing Supplement, write to:

Molina Medicaid Solutions

PO Box 4801

Trenton, New Jersey 08650-4801 or contact:

Office of Administrative Law

Quakerbridge Plaza, Bldg. 9

PO Box 049

Trenton, New Jersey 08625-0049