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Public Notice of Rule Adoptions

Adopted Rules

Title

Adopted New Rules: N.J.A.C. 10:79A  Medicaid Accountable Care Organization Demonstration Project Implementation of Demonstration Project 
Adopted Amendments: N.J.A.C. 10:52-4.5 Hospital Services Manual 

Adopted Amendments: 
N.J.A.C. 10:49-7.3

N.J.A.C. 10:52-4.7
Adopted Repeal and New Rule: N.J.A.C. 10:52-4.6

 

Administration Manual
Hospital Services Manual
Third-Party Liability; TPL Claims; Medicare/Medicaid or Medicare/NJ FamilyCare Claims
 

Notice of Readoption: N.J.A.C. 10:56 Dental Services Manual 
Notice of Readoption: N.J.A.C. 10:68 Chiropractic Services 
Readoption: N.J.A.C. 10:73 Case Management Services 
Notice of Readoption: N.J.A.C. 10:78 NJ FamilyCare 
Notice of Readoption: N.J.A.C. 10:70 Medically Needy Program 
Notice of Readoption: N.J.A.C. 10:67 Psychological Services 
Notice of Administrative Change: Medicaid Only
N.J.A.C. 10:71-4.8
Notice of January 1, 2013 Increase in the Community Spouse's Share of a Couple's Combined Countable Resources 
Notice of Readoption: N.J.A.C. 10:58 Nurse Midwifery Services 
Adopted New Rules: NJAC 10:30  DMHAS Organizational Rules
Notice of Administrative Changes: Medicaid Only
N.J.A.C. 10:71-5.4, 5.5, 5.6 and 5.9
January 1, 2013 Income and Resource Standards for Determination of Medicaid Only Eligibility 
Adopted New Rules:  NJAC 10:161A Licensure of Residential Substance Use Disorders Treatment Facilities 
Readoption: N.J.A.C. 10:59 Medical Supplier Manual 
Readoption: N.J.A.C. 10:64 Hearing Aid Services 
Adopted Amendment:  N.J.A.C. 10:49-14.1 Administration Manual Recovery of Payments Correctly Made 
Readoption: N.J.A.C. 10:57 Podiatry Services 
Readoption: N.J.A.C. 10:60 Home Care Services 
Readoption: N.J.A.C. 10:50 Transportation Services 
 Adopted New Rule: N.J.A.C. 10:49-1.5  Administration Manual 
 

Readoption with Amendments: N.J.A.C. 10:54

Repeals and New Rules: N.J.A.C. 10:54-5.21 and 5.23

Repeals: N.J.A.C. 10:54-5.25 and 5.27
Physician Services 
Notice of Administrative Change: Medicaid Only
N.J.A.C. 10:71-4.8
Notice of January 1, 2012 Increase in the Community Spouse's Share of a Couple's Combined Countable Resources 
Notice of Administrative Changes: Medicaid Only
N.J.A.C. 10:71-5.4, 5.5, 5.6 and 5.9
January 1, 2012 Income and Resource Standards for Determination of Medicaid Only Eligibility 
N.J.A.C. 10:52, Hospital Services;
N.J.A.C. 10:52A, Psychiatric Adult Acute Partial Hospital and
Partial Hospital Services; and
N.J.A.C. 10:66, Independent Clinic Services.
Staff-to-Consumer Ratios and Reimbursement Rates for Partial Care & Partial Hospital Services 
 

Readoption with Amendments:  N.J.A.C. 10:74

Managed Health Care Services for Medicaid and NJ FamilyCare Beneficiaries 
Amendments to N.J.A.C. 10:52 Hospital Services Manual - Outpatient Dental Services 
Readoption:  N.J.A.C. 10:71 Medicaid Only Manual 
Repeal of N.J.A.C. 10:49-9.9 Patient's (Beneficiary) Certification
 N.J.A.C. 10:49-7.2, 7.5, 8.3 and 8.4 Electronic Claims and Payments; Adjustment of Claims 
Adopted Amendments to N.J.A.C. 10:59 Medical Supplier Manual: Provider Enrollment; Purchase Indicator Correction 
Readoption:  N.J.A.C. 10:58A Advanced Practice Nurse Services 
Readoption:  N.J.A.C. 10:55 Prosthetic and Orthotic Services 
Readoption:  N.J.A.C. 10:61 Requests for Laboratory Tests 
Readoption:  N.J.A.C. 10:162 Intoxicated Driving Program 
N.J.A.C. 10:52  Adoption of Hospital Services Manual 
Proposed Readoption of N.J.A.C. 10:91 CBVI's organizational rule 
Adopted with no change: N.J.A.C. 10:50 Transportation Services Manual; Transportation Broker 
Readoption N.J.A.C. 10:69 AFDC-Related Medicaid 
Readoption: N.J.A.C. 10:10 Community Mental Health and Developmental Disability Services Investment 
N.J.A.C. 10:49-13.3 and 10:74-8.7  Adopted Amendments: Correction of Citations in N.J.A.C. 10:49, Administration and 10:74, Managed Health Care Services for Medicaid and NJ FamilyCare Beneficiaries 
N.J.A.C. 10:78-1.1, 3.2, 3.4 and 7.1 Adopted Special Amendments: NJ FamilyCare; Limits on New Enrollments; Termination of Existing Enrollments 
 Adoption with Amendments of N.J.A.C. 10:6 Hearings 
Proposed Readoption of N.J.A.C. 10:46A Family Support Service System 
Limitations on Reimbursement for Hospice Services;
N.J.A.C. 10:53A-4.4

Adoption of Hospice Services Manual 
Readoption with Amendments: N.J.A.C. 10:66 Independent Clinic Manual 
Adoption of N.J.R 2761(a)

Adoption of NJ FamilyCare Premiums for Children, N.J.A.C. 10:79 

Readoption without change of N.J.A.C. 10:62 Vision Care Services Manual 
Adoption of N.J.A.C. 10:3-3.3 Notice of Administrative Changes: Office of Contract Policy & Management - Contract Administration & Request for Proposal websites 
Adoption of N.J.A.C. 10:75 Psychiatric Residential Treatment Facility Services for Individuals Under Age 21 
Adoption of N.J.A.C. 10:52 Hospital Services Manual: Inpatient Reimbursement Methodology for General Acute Care Hospitals - Basis of Payment 
Readoption with Amendments of N.J.A.C.10:3 Contract Administration 
Readoption with Amendments of N.J.A.C. 10:77A Adoption of Adult Mental Health Rehabilitation Services Provided In/By Community Residence Programs 
Readoption with Amendments of N.J.A.C. 10:79 Readoption of NJ FamilyCare - Children's Program 
Readoption of N.J.A.C. 10:51 Pharmaceutical Services Manual 
Adopted New Rules: N.J.A.C. 10:161B Licensure of Outpatient Substance Abuse Treatment Facilities 
Readoption with Amendments N.J.A.C. 10:37I DMHS Family Support Services 
Medicaid Only, N.J.A.C. 10:71-4.8 Notice of January 1, 2009 Increase in the Community Spouse's Share of a Couple's Combined Countable Resources 
Notice of Administrative Change N.J.A.C. 10:71-5.4, 5.5, 5.6 and 5.9 Notice 2009 Income and Resource Standards for Determination of Medicaid Only Eligibility 
Notice of Administrative Changes: N.J.A.C. 10:49-9.2 and 10:79-6.7 Administrative Manual: NJ FamilyCare Children's Program - Plans C and D Premium Payment Increases Effective July 1, 2009 
Notice of Administrative Changes: N.J.A.C. 10:71-5.4, 5.5, 5.6 and 5.9 Medicaid Only - Notice of January 1, 2009 Income and Resource Standards for Determination of Medicaid Only Eligibility 
Notice of Administrative Changes: N.J.A.C. 10:71-4.8 Medicaid Only - Notie of January 1, 2009 Increase in the Community Spouse's Share of a Couple's Combined Countable Resources
Adopted Amendments: N.J.A.C. 10:37F-1.3 and 2.4 Partial Care Services Standards 

Adoption of N.J.A.C.
10:49-3.2

Employee Education Regarding Prevention of Fraud, Waste and Abuse in Medicaid Programs 

Adoption without change N.J.A.C. 10:55

Prosthetic and Orthotic Services; Reimbursement Unit for Travel Time Manual 

Adoption without Change N.J.A.C. 10:52-1.2 and 4.3

Hospital Outpatient Mental Health/Behavioral Health Services for Youth and Young Adults: Basis of Payment 

Adopted Amendments: N.J.A.C. 10:160-1.1

DAS Organizational Rule 

Adoption without change from proposal N.J.A.C. 10:49-3.1, 10:51-1.2 and 2.2, and 10:59-1.3

Administration Manual 

Adoption with Amendments of N.J.A.C. 10:77

Rehabilitative Services for Children Manual 

Adoption of N.J.A.C. 10:76

Programs of Assertive Community Treatment Manual 

Adoption of N.J.A.C. 10:53A

Hospice Services Manual 

Adoption of N.J.A.C. 10:49

Administration Manual 

Notice of Administrative Change N.J.A.C. 10:71-4.8

January 1, 2008 Increase in Community Spouse's Share of a Couple's Combined Countable Resources 

Notice of Administrative Change N.J.A.C. 10:71-5.4, 5.5, 5.6, and 5.9

January 1, 2008 Income and Resource Standards for Medicaid Only Eligibility 

Readoption Without change N.J.A.C. 10:35

County Psychiatric Facilities 

Adoption N.J.A.C. 10:72

New Jersey Care…Special Medicaid Programs Manual 

Adoption: N.J.A.C. 10:49-3.1, 10:51-1.2. and 2.2, and 10:59-1.3

Moratorium on Enrollment of New Providers 

Adoption of Physician Services Manual, N.J.A.C. 10:54-9.8

Removal of Service Limitations for Mental Health Diagnostic Interviews 

Adoption - N.J.A.C. 10:77A-2.2 and 2.3

Adult Mental Health Rehabilitation Services Provided In/By Community Residence Programs, Level of Care; Nursing Assessment Frequency 

Adopted New Rule
Readoption and Recodification with Amendments; New Rules 10:162


Division of Addiction Services Intoxicated Driving Program 

Readoption: with Amendment: N.J.A.C. 10:6

Office of Legal and Regulatory Liaison Summary 

Rule Adoption: N.J.A.C. 10:37E Outpatient Service Standards 
Rule Adoption: N.J.A.C. 10:37G Short-Term Care Facilities Standards
Adopted Amendments to the Rules: N.J.A.C. 10:1-1 Organizational Rules; Rules of Practice; Petition for Rulemaking 
Adopted New Rule: N.J.A.C. 10:94 Prevention Services Program of the Commission for the Blind and Visually Impaired 
Rule Adoption: N. J. A. C. 10:42 Mechanical Restraints and Safeguarding Equipment 
 
 
 
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