New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 73 - CASE MANAGEMENT SERVICES
Subchapter 2 - ADULT CASE MANAGEMENT PROGRAM/MENTAL HEALTH (CMP/MH)
Section 10:73-2.5 - Provider enrollment requirements for providers participating in adult CMP/MH

Universal Citation: NJ Admin Code 10:73-2.5

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

(a) This section lists the specific provisions relevant to a provider who wishes to apply and be approved as a provider of CMP/MH services. 10:73-2.6 provides information about service responsibilities of the CMP/MH provider and 10:73-2.7 describes the responsibilities of staff members of a CMP/MH provider agency.

(b) Any agency providing CMP/MH services shall first be certified by the Division of Mental Health and Addiction Services (DMHAS), shall be under contract as an approved clinical case management provider and shall be individually approved as a Medicaid/NJ FamilyCare provider by the New Jersey Medicaid/NJ FamilyCare program.

(c) Case management providers under CMP/MH shall comply with Medicaid/NJ FamilyCare program rules regarding provider participation (see N.J.A.C. 10:49-3.1). Provider entities shall be mental health provider organizations that contract with the New Jersey Division of Mental Health and Addiction Services in accordance with the Community Mental Health Services Act rules, N.J.A.C. 10:37, to provide clinical case management services.

(d) Upon notification from DMHAS of the completion of the certification of, and contract with, a CMP/MH provider, the New Jersey Medicaid/NJ FamilyCare program will forward the appropriate provider enrollment forms to the provider. (See N.J.A.C. 10:49-3.1, Eligible providers)

(e) The CMP/MH provider will receive written notification of approval or disapproval from the Division of Medical Assistance and Health Services.

1. If approved, the CMP/MH provider will be assigned a provider number by the Medicaid/NJ FamilyCare fiscal agent; and

2. The New Jersey Medicaid/NJ FamilyCare program will furnish a provider manual (which includes this chapter, other relevant chapters including N.J.A.C. 10:49 and additional non-regulatory material).

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