N.J. Admin. Code § 10:68-2.4

Current through Register Vol. 57, No. 1, January 6, 2025

Section 10:68-2.4 - Services prescribed by a chiropractor: clinical laboratory services

(a) A chiropractor shall not include any charges for laboratory services in a claim for reimbursement; however, he or she may order those professional and technical laboratory services for Medicaid/NJ FamilyCare beneficiaries that are consistent with chiropractic practice. The New Jersey Medicaid/NJ FamilyCare program shall reimburse a clinical laboratory for covered services rendered to Medicaid/NJ FamilyCare beneficiaries that has met the following requirements:

1. Licensure and/or approval by the New Jersey Department of Health or comparable agency in the state in which the facility is located, including meeting certificate of need and licensure requirements, when required, and all applicable laboratory provisions of the New Jersey State Sanitary Code, N.J.A.C. 8:45;

2. Certification as an independent laboratory under Title XVIII Medicare program (see 42 C.F.R. § 493.1);

3. Compliance with the requirements for an independent clinical laboratory under the Clinical Laboratory Improvement Amendments of 1988 (CLIA) (see 1902(a)(9) of the Social Security Act; 42 U.S.C. § 1396a(a)(9)).

N.J. Admin. Code § 10:68-2.4

Amended by R.2000 d.451, effective 11/6/2000.
See: 32 N.J.R. 2691(a), 32 N.J.R. 3992(b)
In (a), added "or NJ KidCare" following "Medicaid" in the introductory paragraph.
Amended by R.2006 d.416, effective 12/4/2006.
See: 38 N.J.R. 2012(a), 38 N.J.R. 5157(a).
Section was "Services prescribed by a chiropractor: clinical laboratory services". In the introductory paragraph of (a), substituted "FamilyCare" for "KidCare" throughout.

Amended by 53 N.J.R. 1788(a), effective 10/18/2021