New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 91 - ORGANIZATION AND GENERAL POLICY PROVISIONS OF THE COMMISSION FOR THE BLIND AND VISUALLY IMPAIRED
Subchapter 7 - MEDICAL POLICIES AND FEE SCHEDULES
Section 10:91-7.1 - Fee schedule

Universal Citation: NJ Admin Code 10:91-7.1

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

(a) All services shall be provided with prior authorization from the Commission.

(b) The vendor shall provide to the client's caseworker a written report which details the services rendered by the vendor before payment is made.

(c) The Commission, in consultation with the necessary medical professionals, shall review exceptions to the Commission's medical fee schedule and establish non-listed fees on a case-by-case basis. In determining exceptions to the Commission's fee schedule, the Commission and the medical professionals shall consider factors such as, but not limited to:

1. The availability of a specific service within a client's geographic area; and

2. The uniqueness of the required medical procedure.

(d) A vendor who accepts Commission fees shall not charge the Commission client more than what the Commission fee is for a specific service as indicated in its fee schedule.

(e) The Commission's medical fee schedule follows:

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