N.J. Admin. Code § 8:57B-1.4

Current through Register Vol. 56, No. 21, November 4, 2024
Section 8:57B-1.4 - Application process by municipalities for reimbursement
(a) Municipalities shall submit an application for reimbursable costs in the format prescribed at (d) below by a specified deadline date as determined by the Division. This application shall remain valid until all municipalities have been reimbursed.
(b) Reimbursable costs shall include the cost of the hepatitis B vaccine and the cost of fees for professional medical services for administration of the vaccine. Reimbursable cost of the hepatitis B vaccine shall not exceed the cost of the purchase of the vaccine at the prevailing State contract rate.
(c) Only applications for reimbursable costs from municipalities shall be honored. Requests for reimbursement from individual first aid and rescue squads, fire departments, districts, and companies, and police departments or their members and/or staffs shall be disallowed.
(d) Each application for reimbursable costs shall be in the form of a letter to the Division and shall include the following information:
1. The name of the municipality;
2. The total amount expended for inoculations of each of the individuals specified in (d)4 below;
3. The amount sought for reimbursement;
4. The composition of the municipality's emergency services personnel, including the number of volunteer emergency medical technicians, the number of volunteer firefighters, the number of paid emergency medical technicians, the number of paid firefighters and the number of police officers;
5. Actual reimbursable costs incurred for inoculations of each of the individuals specified in (d)4 above, categorized according to the total amount incurred for the hepatitis B vaccine and the cost of fees of professional medical services for administration of the vaccine; and
6. A statement certifying that the reimbursement applied for represents actual costs incurred and that such costs are not eligible for coverage, and have not been covered through any other source.
(e) The municipality shall maintain all records that were relied upon in submitting applications for reimbursement for five years after receiving reimbursement from the Division.

N.J. Admin. Code § 8:57B-1.4

Amended by 51 N.J.R. 83(b), effective 1/7/2019