New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 77 - REHABILITATIVE SERVICES FOR CHILDREN
Subchapter 3 - RESIDENTIAL MENTAL HEALTH REHABILITATION SERVICES
Section 10:77-3.3 - Provider participation requirements

Universal Citation: NJ Admin Code 10:77-3.3

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

(a) Requirements for participation as a mental health rehabilitation provider shall be as follows:

1. An applicant shall be licensed by the Department of Children and Families in accordance with N.J.A.C. 3A:55 or 3A:56 and shall provide mental health rehabilitation services.

2. A psychiatric community residence for youth or any other provider that is not enrolled as a provider of mental health personal care services by the Department of Children and Families in accordance with N.J.A.C. 3A:55 or 3A:56, shall enroll as a mental health rehabilitation provider.

3. All applicants shall complete and submit a provider application, including a copy of their license, to:

Division of Medical Assistance and Health Services

Office of Provider Enrollment, Mail Code #9

PO Box 712

Trenton, New Jersey 08625-0712

i. The applicant shall receive written notification of approval or disapproval of its provider status. If approved, the applicant shall be assigned a Provider Number, and shall receive a copy of this chapter.

ii. Upon approval as a Medicaid/NJ FamilyCare provider, the provider shall conform to all the provisions of N.J.A.C. 10:49, this chapter and any applicable rules of the Department of Children and Families.

4. A provider is required to enroll each site at which services are provided and obtain a separate provider number for each site.

5. In order to participate in the New Jersey Medicaid/NJ FamilyCare Program, a 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.

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