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N.J.A.C. 10:60-1.3 - Providers eligible to participate
New JerseyregulationNJ Dept. of Human Services, Division of Medical Assistance and Health Services (DMAHS)· effective 2022-09-06
What this rule requires your agency to do
- 1Health care service firms must be accredited, both initially and on an ongoing basis, by an accreditation organization approved by the Department.(N.J.A.C. 10:60-1.3 - Providers eligible to participate)
- 2Once approved, the provider must remain in good standing by successfully completing provider revalidation when requested by DMAHS.(N.J.A.C. 10:60-1.3 - Providers eligible to participate)
- 3To be approved as a Medicaid/NJ FamilyCare-participating provider, the applicant must have a valid National Provider Identifier (NPI) and a valid taxonomy code obtained from the NPPES.(N.J.A.C. 10:60-1.3 - Providers eligible to participate)
- 4Out-of-State home health agencies serving Medicaid/NJ FamilyCare beneficiaries out of State must meet that state's requirements, including licensure if applicable, and all applicable Federal requirements.(N.J.A.C. 10:60-1.3 - Providers eligible to participate)
Applies to: personal care
Sets out which home care agencies may enroll as NJ Medicaid/NJ FamilyCare providers and the enrollment conditions, including NPI/taxonomy requirements, revalidation, and mandatory accreditation for health care service firms.
Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.