New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 94 - PREVENTION SERVICES PROGRAM OF THE COMMISSION FOR THE BLIND AND VISUALLY IMPAIRED
Subchapter 4 - LOW VISION PROGRAM
Section 10:94-4.4 - Medicaid client
Universal Citation: NJ Admin Code 10:94-4.4
Current through Register Vol. 56, No. 18, September 16, 2024
(a) The Commission shall not pay for low vision services, initial evaluation, aids, devices, or follow-up visits for Medicaid clients.
(b) Exceptions may be made on a case-by-case basis, if Medicaid refuses to pay, or if it is determined to be in the client's best interest for the Commission to accept financial responsibility.
(c) Responsibilities of the Commission's referring caseworker shall be:
1. To determine the appropriateness of a low
vision evaluation;
2. To assist in locating a physician who
accepts Medicaid;
3. To assist in arranging and getting client to
the low vision appointment;
4. To send examining physician a copy
of client's current eye report and blank low vision evaluation forms, when appropriate; and
5. To request copies of reports from examining physician when
appropriate.
(d) The examining doctor shall be responsible for processing bill(s) for payment through Medicaid as per established Medicaid procedures.
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