N.J. Admin. Code Tit. 10, ch. 52 - HOSPITAL SERVICES MANUAL

  1. Subchapter 1 - GENERAL PROVISIONS (§ 10:52-1.1 to 10:52-1.18)
  2. Subchapter 2 - POLICIES AND PROCEDURES RELATED TO SPECIFIC SERVICES (§ 10:52-2.1 to 10:52-2.16)
  3. Subchapter 3 - HEALTHSTART-MATERNITY AND PEDIATRIC CARE SERVICES (§ 10:52-3.1 to 10:52-3.17)
  4. Subchapter 4 - BASIS OF PAYMENT FOR HOSPITAL SERVICES (§ 10:52-4.1 to 10:52-4.9)
  5. Subchapter 5 - PROCEDURAL AND METHODOLOGICAL REGULATIONS (§ 10:52-5.1 to 10:52-5.21)
  6. Subchapter 6 - FINANCIAL REPORTING PRINCIPLES AND CONCEPTS (§ 10:52-6.1 to 10:52-6.79)
  7. Subchapter 7 - DIAGNOSIS RELATED GROUPS (DRG) (§ 10:52-7.1 to 10:52-7.3)
  8. Subchapter 8 - GRADUATE MEDICAL EDUCATION AND INDIRECT MEDICAL EDUCATION (§ 10:52-8.1 to 10:52-8.6)
  9. Subchapter 9 - REVIEW AND APPEAL OF RATES (§ 10:52-9.1)
  10. Subchapter 10 - CENTERS FOR MEDICARE & MEDICAID SERVICES HEALTHCARE COMMON PROCEDURE CODING SYSTEM (HCPCS) FOR HOSPITAL OUTPATIENT LABORATORY SERVICES (§ 10:52-10.1 to 10:52-10.5)
  11. Subchapter 11 - CHARITY CARE (§ 10:52-11.1 to 10:52-11.17)
  12. Subchapter 12 - CHARITY CARE COMPONENT OF THE DISPROPORTIONATE SHARE HOSPITAL SUBSIDIES (§ 10:52-12.1 to 10:52-12.3)
  13. Subchapter 13 - ELIGIBILITY FOR AND BASIS OF PAYMENT FOR DISPROPORTIONATE SHARE HOSPITALS (§ 10:52-13.1 to 10:52-13.7)
  14. Subchapter 14 - METHODOLOGY FOR ESTABLISHING DRG PAYMENT RATES FOR INPATIENT SERVICES AT GENERAL ACUTE CARE HOSPITALS BASED ON DRG WEIGHTS AND A STATEWIDE BASE RATE (§ 10:52-14.1 to 10:52-14.17)
  15. Appendix A - , version 7
  16. Appendix B - , version 7

Notes

N.J. Admin. Code Tit. 10, ch. 52
CHAPTER SOURCE AND EFFECTIVE DATE:
Effective: 1/23/2025.
See: 57 N.J.R. 382(b).
CHAPTER HISTORICAL NOTE:
Chapter 52, Manual for Hospital Services, was adopted as R.1971 d.30, effective 3/5/1971. See: 3 N.J.R. 24(b), 3 N.J.R. 62(c).
Subchapter 3, Teleprocessing Procedures, was adopted as R.1975 d.230, effective 8/1/1975. See: 7 N.J.R. 316(b), 7 N.J.R. 431(b).
Pursuant to Executive Order No. 66(1978), Subchapter 1, Coverage, was readopted as R.1984 d.47, effective 2/9/1984. See: 15 N.J.R. 2125(a), 16 N.J.R. 424(b).
Pursuant to Executive Order No. 66(1978), Subchapter 2, Admissions and Billing Procedures, was readopted as R.1985 d.56, effective 1/28/1985. See: 16 N.J.R. 3159(a), 17 N.J.R. 451(a).
Pursuant to Executive Order No. 66(1978), Chapter 52, Manual for Hospital Services, was readopted as R.1990 d.157, effective 2/8/1990. See: 21 N.J.R. 3911(a), 22 N.J.R. 799(b).
Subchapter 4, HCFA Common Procedure Coding System (HCPCS), was adopted as R.1992 d.327, effective 8/17/1992, operative September 1, 1992. See: 24 N.J.R. 917(a), 24 N.J.R. 2898(a).
Subchapter 5, Procedural and Methodological Regulations, Subchapter 6, Financial Reporting Principles and Concepts, Subchapter 7, Diagnosis Related Groups (DRG), Subchapter 8, Basis of Specific Payment for Disproportionate Share Hospitals, and Subchapter 9, Review and Appeal of Rates, were adopted as Emergency New Rules R.1993 d.154, effective 3/11/1993, to expire May 10, 1993. See: 25 N.J.R. 1582(a). The provisions of R.1993 d.154 were readopted as R.1993 d.263, effective 5/10/1993, with changes effective 6/7/1993. See: 25 N.J.R. 1582(a), 25 N.J.R. 2560(a).
Pursuant to Executive Order No. 66(1978), Chapter 52, Manual for Hospital Services, was readopted as R.1995 d.123, effective 2/3/1995. As a part of R.1995 d.123, Chapter 52 was renamed Hospital Services Manual, and Subchapter 1, Coverage, Subchapter 2, Admission and Billing Procedures, Subchapter 3, Teleprocessing Procedures, and Subchapter 4, HCFA Common Procedure Coding System (HCPCS), were repealed, and Subchapter 1, General Provisions, Subchapter 2, Policies and Procedures Related to Specific Services, Subchapter 3, Healthstart--Maternity and Pediatric Services, Subchapter 4, Basis of Payment for Hospital Services, and Subchapter 11, HCFA Common Procedure Coding System (HCPCS) for Hospital Outpatient Laboratory Services, were adopted as new rules, effective 4/17/1995. See: 26 N.J.R. 4551(a), 27 N.J.R. 1660(a).
Subchapter 10, Charity Care, was adopted as R.1995 d.258, effective 5/15/1995. See: 27 N.J.R. 656(a), 27 N.J.R. 1995(a).
Subchapter 12, Graduate Medical Education and Indirect Medical Education, was adopted as R.1997 d.43, effective 1/21/1997. See: 28 N.J.R. 4022(a), 29 N.J.R. 350(b).
Subchapter 10A, Charity Care Component of the Disproportionate Share Hospital Subsidies, was adopted as R.1997 d.520, effective 1/5/1998. See: 29 N.J.R. 1006(a), 30 N.J.R. 232(a).
Pursuant to Executive Order No. 66(1978), Chapter 52, Hospital Services Manual, was readopted as R.2000 d.29, effective 12/21/1999, and Subchapter 8, Basis of Specific Payment for Disproportionate Share Hospitals, was recodified as Subchapter 13, Eligibility for and Basis of Payment for Disproportionate Share Hospitals, Subchapter 10, Charity Care, was recodified as Subchapter 11, Charity Care, Subchapter 10A, Charity Care Component of the Disproportionate Share Hospital Subsidies, was recodified as Subchapter 12, Charity Care Component of the Disproportionate Share Hospital Subsidies, Subchapter 11, HCFA Common Procedure Coding System (HCPCS) for Hospital Outpatient Laboratory Services, was recodified as Subchapter 10, HCFA Common Procedure Coding System (HCPCS) for Hospital Outpatient Laboratory Services, and Subchapter 12, Graduate Medical Education and Indirect Medical Education, was recodified as Subchapter 8, Graduate Medical Education and Indirect Medical Education, by R.2000 d.29, effective 1/18/2000. See: 31 N.J.R. 3151(a), 32 N.J.R. 276(a).
Chapter 52, Hospital Services Manual, was readopted as R.2005 d.214, effective 6/9/2005. See: 37 N.J.R. 436(a), 37 N.J.R. 2506(a).
Subchapter 14, Methodology for Establishing DRG Payment Rates for Inpatient Services at General Acute Care Hospitals Based on DRG Weights and a Statewide Base Rate, was adopted as new rules by R.2009 d.249, effective 8/3/2009. See: 41 N.J.R. 1351(a), 41 N.J.R. 2895(a).
Chapter 52, Hospital Services Manual, was readopted as R.2011 d.010, effective 12/6/2010. As a part of R.2011 d.010, Subchapter 10, HCFA Common Procedure Coding System (HCPCS) for Hospital Outpatient Laboratory Services, was renamed Centers for Medicare & Medicaid Services Healthcare Common Procedure Coding System (HCPCS) for Hospital Outpatient Laboratory Services, effective 1/3/2011. See: 42 N.J.R. 1656(a), 43 N.J.R. 43(a).
In accordance with N.J.S.A. 52:14B-5.1b, Chapter 52, Hospital Services Manual, was scheduled to expire on 12/6/2017. See: 43 N.J.R. 1203(a).
Chapter 52, Hospital Services Manual, was readopted as R.2018 d.104, effective 4/16/2018. See 49 N.J.R. 3294(a), 50 N.J.R. 1261(a).
Chapter 52, Hospital Services Manual, was updated by administrative change, effective 11/4/2024, to change all references to county welfare agencies (CWA) and county welfare boards to county social service agencies (CSSA) and county social services boards, respectively. See: 56 N.J.R. 2299(a).
Chapter 52, Hospital Services Manual, was readopted, effective 1/23/2025. See: Source and Effective Date.

CHAPTER AUTHORITY:

N.J.S.A. 30:4D-1 et seq., and N.J.S.A. 30:4J-8 et seq.

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