N.J. Admin. Code § 10:60-11.1

Current through Register Vol. 56, No. 24, December 18, 2024

Section 10:60-11.1 - Introduction

(a) The New Jersey Medicaid/NJ FamilyCare programs adopted the Federal Centers for Medicare & Medicaid Services' (CMS) Healthcare Common Procedure Coding System codes for 2006, established and maintained by CMS in accordance with the Health Insurance Portability and Accountability Act of 1996, 42 U.S.C. §§ 1320d et seq., and incorporated herein by reference, as amended and supplemented, and published by PMIC, 4727 Wilshire Blvd., Suite 300, Los Angeles, CA 90010. Revisions to the Healthcare Common Procedure Coding System made by CMS (code additions, code deletions, and replacement codes) will be reflected in this chapter through publication of a notice of administrative change in the New Jersey Register. Revisions to existing reimbursement amounts specified by the Department and specification of new reimbursement amounts for new codes will be made by rulemaking in accordance with the Administrative Procedure Act, N.J.S.A. 52:14B-1 et seq., and 52:14F-1 et seq. The HCPCS codes as listed in this subchapter are relevant to certain Medicaid/NJ FamilyCare Home Care services.

(b) These codes are used when requesting reimbursement for certain Home Care services and when a CMS 1500 Claim Form is required.

Amended by R.2001 d.14, effective 1/2/2001.
See: 32 New Jersey Register 3940(a), 33 New Jersey Register 66(a).
In (a), inserted references to NJ KidCare throughout; and in (b), changed form reference.
Amended by R.2006 d.238, effective 7/3/2006.
See: 38 N.J.R. 1136(a), 38 N.J.R. 2810(a).
Rewrote (a); and in (b), substituted "CMS" for "HCFA".

Amended by 54 N.J.R. 1721(a), effective 9/6/2022