New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 77 - REHABILITATIVE SERVICES FOR CHILDREN
Subchapter 2 - ENVIRONMENTAL LEAD INTERVENTION SERVICES
Section 10:77-2.3 - Provider participation requirements
Universal Citation: NJ Admin Code 10:77-2.3
Current through Register Vol. 56, No. 18, September 16, 2024
(a) Requirements for a provider to participate in environmental lead inspection or hazard assessment services shall be as follows:
1.
An applicant shall be a local board of health;
2. Each local board of health shall enroll
and be approved by the New Jersey Medicaid/NJ FamilyCare programs specifically
for reimbursement for this service, including local boards of health previously
approved as Medicaid/NJ FamilyCare independent clinic providers;
3. A local board of health not previously
approved as a Medicaid/NJ FamilyCare independent clinic provider but wishing to
enroll as a Medicaid/NJ FamilyCare-participating provider for environmental
lead intervention services shall complete and submit a provider application
packet pursuant to
N.J.A.C.
10:49-3.2.
i. The completed application packet shall be
submitted to:
Gainwell Technologies
Provider Enrollment
PO Box 4804
Trenton, New Jersey 08650;
ii. A provider application can be requested
by calling 1-800-776-6334 or downloaded at www.njmmis.com; and
iii. The applicant shall receive written
notification of approval or disapproval of its provider status. If approved,
the applicant shall be assigned a Medicaid/NJ FamilyCare Provider Number and
shall receive a packet which contains a Medicaid/NJ FamilyCare Provider Manual
(N.J.A.C. 10:77) and the Fiscal Agent Billing Supplement
(FABS);
4. A local board
of health previously approved as a Medicaid/NJ FamilyCare independent clinic
provider or a local board of health previously issued a provider number but
requiring reactivation of its provider number, wishing to perform environmental
lead inspection or hazard assessment services needs only to submit a request on
local board of health letterhead to:
Division of Medical Assistance and Health Services
Office of Provider Enrollment
Mail Code #9
PO Box 712
Trenton, New Jersey 08625-0712;
5. Upon approval as a Medicaid/NJ FamilyCare
provider, the local board of health shall conform to applicable State and
Federal laws, rules and regulations, including, but not limited to, N.J.A.C.
10:49 and this chapter; and
6. In
order to participate in the New Jersey Medicaid/NJ FamilyCare Program, a local
board of health provider shall:
i. Have a
valid National Provider Identifier (NPI) number obtained from the National Plan
and Provider Enumeration System (NPPES);
ii. Have a valid taxonomy code obtained from
the NPPES; and
iii. Remain a
provider in good standing by successfully completing provider revalidation,
when requested by DMAHS.
Disclaimer: These regulations may not be the most recent version. New Jersey may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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