New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 67 - PSYCHOLOGICAL SERVICES
Subchapter 1 - INTRODUCTION
Section 10:67-1.3 - Conditions of participation
Current through Register Vol. 56, No. 18, September 16, 2024
(a) To be approved as a Medicaid/NJ FamilyCare provider by the New Jersey Medicaid/NJ FamilyCare program, the psychologist or psychologist specialist shall:
Gainwell Technologies
Provider Enrollment
PO Box 4804
Trenton, New Jersey 08650-4804
A provider application can also be requested by calling 609-588-6036 or downloaded from the DMAHS fiscal agent website at njmmis.com.
Division of Medical Assistance and Health Services
PO Box 712
Trenton, New Jersey 08625-0712
(b) If the psychologist is providing psychological services to a Medicaid/NJ FamilyCare recipient residing in a nursing facility (NF), or residential health care facility, or a residential treatment center, these facilities shall be Medicaid/NJ FamilyCare approved facilities.
(c) Upon approval as a psychological services provider, the psychologist shall be assigned a Medicaid/NJ FamilyCare provider number.
(d) In order to be approved as a Medicaid/NJ FamilyCare-participating provider, the applicant shall have a valid National Provider Identifier (NPI) obtained from the National Plan and Provider Enumeration System (NPPES) and a valid taxonomy code for "psychologist" or "psychologist specialist" obtained from the NPPES.
(e) Once approved as a Medicaid/NJ FamilyCare provider, the provider shall remain a provider in good standing by successfully completing provider revalidation when requested by DMAHS.