CHAPTER 49 - ADMINISTRATION MANUAL (Sec. 10:49-1.1 to Appendix 10:49-24.5)

  1. SUBCHAPTER 1 - GENERAL PROVISIONS (Sec. 10:49-1.1 to Sec. 10:49-1.8)
  2. SUBCHAPTER 2 - NEW JERSEY MEDICAID BENEFICIARIES (Sec. 10:49-2.1 to Sec. 10:49-2.19)
  3. SUBCHAPTER 3 - PROVIDER PARTICIPATION (Sec. 10:49-3.1 to Sec. 10:49-3.5)
  4. SUBCHAPTER 4 - PROVIDERS' ROLE IN A SHARED HEALTH CARE FACILITY (Sec. 10:49-4.1 to Sec. 10:49-4.5)
  5. SUBCHAPTER 5 - SERVICES COVERED BY MEDICAID AND THE NJ FAMILYCARE PROGRAMS (Sec. 10:49-5.1 to Sec. 10:49-5.10)
  6. SUBCHAPTER 6 - AUTHORIZATIONS REQUIRED BY MEDICAID AND THE NJ FAMILYCARE PROGRAMS (Sec. 10:49-6.1 to Sec. 10:49-6.2)
  7. SUBCHAPTER 7 - SUBMITTING CLAIMS FOR PAYMENT POLICIES AND REGULATIONS (Sec. 10:49-7.1 to Sec. 10:49-7.6)
  8. SUBCHAPTER 8 - PAYMENT FOR SERVICES PROVIDED (Sec. 10:49-8.1 to Sec. 10:49-8.5)
  9. SUBCHAPTER 9 - PROVIDER AND BENEFICIARY'S RIGHTS AND RESPONSIBILITIES; ADMINISTRATIVE PROCESS (Sec. 10:49-9.1 to Sec. 10:49-9.15)
  10. SUBCHAPTER 10 - NOTICES, APPEALS AND FAIR HEARINGS (Sec. 10:49-10.1 to Sec. 10:49-10.13)
  11. SUBCHAPTER 11 - EXCLUSION FROM PARTICIPATION IN THE NEW JERSEY MEDICAID AND NJ FAMILYCARE PROGRAMS SUSPENSION, DEBARMENT, AND DISQUALIFICATION (Sec. 10:49-11.1 to Sec. 10:49-11.110:69-5.12)
  12. SUBCHAPTER 12 - PROVIDER REINSTATEMENT (Sec. 10:49-12.1 to Sec. 10:49-12.7)
  13. SUBCHAPTER 13 - PROGRAM CONTROLS (Sec. 10:49-13.1 to Sec. 10:49-13.4)
  14. SUBCHAPTER 14 - RECOVERY OF PAYMENTS AND SANCTIONS (Sec. 10:49-14.1 to Sec. 10:49-14.6)
  15. SUBCHAPTER 15 - AVAILABILITY AND MAINTENANCE OF PROGRAM POLICY ISSUANCES (Sec. 10:49-15.1 to Sec. 10:49-15.3)
  16. SUBCHAPTER 16 - DEMONSTRATION PROJECTS (Sec. 10:49-16.1 to Sec. 10:49-16.5)
  17. SUBCHAPTER 17 - RESERVED
  18. SUBCHAPTER 18 - EARLY AND PERIODIC SCREENING, DIAGNOSIS AND TREATMENT EPSDT (Sec. 10:49-18.1)
  19. SUBCHAPTER 19 - HEALTHSTART (Sec. 10:49-19.1)
  20. SUBCHAPTER 20 - RESERVED
  21. SUBCHAPTER 21 - THE MEDICAID/NJ FAMILYCARE MANAGED CARE PROGRAM (Sec. 10:49-21.1 to Sec. 10:49-21.4)
  22. SUBCHAPTER 22 - HOME AND COMMUNITY-BASED SERVICES WAIVER PROGRAMS (Sec. 10:49-22.1 to Sec. 10:49-22.8)
  23. SUBCHAPTER 23 - LIFELINE PROGRAMS (Sec. 10:49-23.1 to Sec. 10:49-23.2)
  24. SUBCHAPTER 24 - WORK FIRST NEW JERSEY/GENERAL ASSISTANCE CLAIMS PROCESSING (Sec. 10:49-24.1 to Sec. 10:49-24.5)
  25. APPENDIX -

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