Chapter 49 - ADMINISTRATION MANUAL

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

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