N.J. Admin. Code § 10:62-2.11 - Recordkeeping policies

(a) Providers shall keep such legible individual records as are necessary to fully disclose the kind and extent of services provided, as well as the medical necessity for those services, which are subject to post audit review. Such information shall be readily available to the representatives of the New Jersey Medicaid/NJ FamilyCare fee-for-service programs or their agents as required.

(b) The records as required by (a) above shall include the following:

1. Name of the beneficiary;

2. Address of the beneficiary;

3. New Jersey Medicaid/NJ FamilyCare fee-for-service identification number;

4. Original prescription;

5. Date of the prescription received;

6. Date of the dispensing to the beneficiary;

7. Invoice from fabricating laboratory and material purchase invoices, as applicable; and

8. All supportive statements and reports, for example fire report, police report, developmental disabilities, medical necessity, etc.

(c) Records shall be kept and maintained by the provider for a period of at least five years from the date the service was rendered.

Notes

N.J. Admin. Code § 10:62-2.11

Amended by 49 N.J.R. 2279(b), effective 7/17/2017