N.J. Admin. Code § 10:49-24.2

Current through Register Vol. 56, No. 23, December 2, 2024

Section 10:49-24.2 - Administrative provisions

(a) Any provider of services shall meet Medicaid requirements and be enrolled as a Medicaid provider. Requirements regarding enrollment and provision of service are set forth in the appropriate chapters of the New Jersey Administrative Code.

(b) The administrative requirements of the Medicaid program shall apply to these claims. The requirements contained in this chapter include, but are not limited to, N.J.A.C. 10:49-1, General Provisions; N.J.A.C. 10:49-3, Provider Participation; N.J.A.C. 10:49-4, Providers' Role in a Shared Health Care Facility; 10:49-5.5, Services not covered by the Medicaid or NJ FamilyCare-Plan A program; N.J.A.C. 10:49-6, Authorizations Required by Medicaid and NJ FamilyCare Programs; N.J.A.C. 10:49-7, Submitting Claims for Payment (Policies and Regulations); N.J.A.C. 10:49-8, Payment for Services Provided; N.J.A.C. 10:49-11, Exclusion from Participation in the New Jersey Medicaid and NJ FamilyCare Programs (Suspension, Debarment, and Disqualification); N.J.A.C. 10:49-12, Provider Reinstatement; N.J.A.C. 10:49-13, Program Controls; 10:49-14.2, Sanctions--Special Status Program; 10:49-14.3, Authority to adjust, compromise, settle or waive claims, liens and certificates of debt; and 10:49-14.5, Administrative charges/service fees.

1. WFNJ/GA claims processed by the Division's fiscal agent are not subject to the fair hearing processes described at 10:49-9.14.

N.J. Admin. Code § 10:49-24.2

Amended by R.2003 d.82, effective 2/18/2003.
See: 34 New Jersey Register 2650(a), 35 New Jersey Register 1118(a).