New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 68 - CHIROPRACTIC SERVICES
Subchapter 2 - SERVICES PRESCRIBED BY THE CHIROPRACTOR
Section 10:68-2.4 - Services prescribed by a chiropractor: clinical laboratory services
Universal Citation: NJ Admin Code 10:68-2.4
Current through Register Vol. 56, No. 18, September 16, 2024
(a) A chiropractor shall not include any charges for laboratory services in a claim for reimbursement; however, he or she may order those professional and technical laboratory services for Medicaid/NJ FamilyCare beneficiaries that are consistent with chiropractic practice. The New Jersey Medicaid/NJ FamilyCare program shall reimburse a clinical laboratory for covered services rendered to Medicaid/NJ FamilyCare beneficiaries that has met the following requirements:
1. Licensure and/or approval by the New
Jersey Department of Health or comparable agency in the state in which the
facility is located, including meeting certificate of need and licensure
requirements, when required, and all applicable laboratory provisions of the
New Jersey State Sanitary Code , N.J.A.C. 8:45;
2. Certification as an independent laboratory
under Title XVIII Medicare program (see
42 C.F.R. §
493.1);
3. Compliance with the requirements for an
independent clinical laboratory under the Clinical Laboratory Improvement
Amendments of 1988 (CLIA) (see 1902(a)(9) of the Social Security Act;
42 U.S.C. §
1396a(a)(9)) .
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