Current through Register Vol. 54, No. 7, April 4, 2022
In order to
participate in the Medicaid/NJ FamilyCare program as a hearing aid provider,
the dispenser shall apply to and be approved by the New Jersey Medicaid/NJ
FamilyCare program. Application for approval by the New Jersey Medicaid/NJ
FamilyCare program as a hearing aid provider requires completion and submission
of the "Medicaid Provider Application" (FD-20) and the "Medicaid Provider
referenced above are located as Forms No. 8 and No. 9 in the Appendix at the
end of the Administration chapter (N.J.A.C. 10:49), and may be obtained from
and submitted to:
PO Box 4804
Trenton, New Jersey 08650-4804
In order to be approved as a Medicaid/NJ
FamilyCare participating provider, the dispenser shall have a current valid
license to dispense hearing aids from the New Jersey Board of Medical
1. An out-of-State hearing aid
dispenser shall have comparable documentation from the state in which they are
licensed to provide hearing aid services.
(c) A photocopy of the current valid license
shall be provided with the application for enrollment.
(d) Upon signing and returning the Medicaid
Provider Application, the Provider Agreement, and other enrollment documents to
the fiscal agent for the New Jersey Medicaid/NJ FamilyCare program, the hearing
aid dispenser will receive written notification of approval or disapproval. If
approved, the hearing aid dispenser will be assigned a provider identifier
number. The State's fiscal agent will furnish the provider identifier number,
provider number, and will provide an initial supply of pre-printed claim
N.J. Admin. Code §
Amended by R.2001 d.71,
See: 32 New Jersey Register 3965(a), 33 New Jersey Register 793(a).
Amended by R.2006 d.289, effective 8/21/2006.
See: 38 New Jersey
Register 1385(a), 38 New Jersey Register 3304(a).
introductory paragraphs of (a) and (b), and also in (b)1 and (c), substituted
"shall" for "must".
Amended by 53 N.J.R. 2222(a), effective