New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 68 - CHIROPRACTIC SERVICES
Subchapter 2 - SERVICES PRESCRIBED BY THE CHIROPRACTOR
Section 10:68-2.5 - Services prescribed by a chiropractor; medical supplies, durable medical equipment , and pre-fabricated orthoses

Universal Citation: NJ Admin Code 10:68-2.5

Current through Register Vol. 56, No. 18, September 16, 2024

(a) Medical supplies and durable medical equipment that are essential for the beneficiary's condition are reimbursable to an approved durable medical equipment or medical supplies provider under the following conditions:

1. The medical supplies and durable medical equipment shall be prescribed by a chiropractor, within his or her scope of practice, and provided by a medical supplier approved for participation in the New Jersey Medicaid/NJ FamilyCare programs, in accordance with N.J.A.C. 10:59.

2. The medical supplies and durable medical equipment provider shall obtain prior authorization from the Division or its authorized agent for certain medical supplies and durable medical equipment in accordance with N.J.A.C. 10:59.

(b) Pre-fabricated orthotics that are essential for the patient's medical condition shall be reimbursed when prescribed by a licensed chiropractor, within the scope of his or her service, and supplied either by an approved provider of medical supplies and equipment in accordance with N.J.A.C. 10:59, or an approved prosthetic and orthotic provider in accordance with N.J.A.C. 10:55.

(c) Medical supplies, durable medical equipment , and pre-fabricated orthotics are not reimbursable by the New Jersey Medicaid/NJ FamilyCare program when available at no charge from community resources (such as the Lions Club, Senior Citizen Centers, Office of the Aged, or other service organizations).

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