N.J. Admin. Code § 11:24C-2.10 - Loss of designation as a home treatment provider

(a) A designated health care provider may lose its designation as the result of one or more of the following:

1. Revocation, suspension or surrender of a registration with respect to a health care service firm;

2. Revocation, suspension or surrender of a license with respect to health care providers;

3. Revocation, suspension or surrender of a pharmacy permit, including a specialized permit, unless the specialized permit was surrendered in order to be replaced by another form of pharmacy permit;

4. Failure of the health care provider to meet one of the standards on which designation was originally issued, other than maintenance by the health care provider and/or its subcontractors of registration(s), license(s) or permit(s) in good standing; or

5. Failure of a designated health care provider to report material changes in accordance with 11:24C-2.1 2.

(b) With respect to a revocation, suspension or surrender of a registration, license or permit, as set forth in (a)1, 2 and 3 above, loss of the health care provider's designation shall be immediate upon occurrence of the event, and shall not be contingent upon notification, verbal or written, being sent from the Department.

(c) Except as (b) above applies, loss of designation shall be effective upon the date that written notice of the loss of designation is sent by the Department to the designated health care provider.

(d) In the event that a designated health care provider loses its designation, the health care provider shall be entitled to request a hearing regarding the loss of the designation in accordance with the provisions of the Administrative Procedures Act, 52:14B-1 et seq., and the Uniform Administrative Procedure Rules, N.J.A.C. 1:1, except when loss of the designation results from (a)1, 2 or 3 above.

(e) Upon receipt of notice of loss of its designation, a health care provider shall notify all of the carriers with which it has an agreement to provide home treatment for bleeding episodes associated with hemophilia of the loss of the designation, and all of the covered persons to whom such services have been or currently are being rendered, and shall cease offering home treatment services, at a minimum, in accordance with 11:24C-2.1 1.

1. Verbal notification shall be acceptable for purposes of expediency; however, the health care provider shall send written notification of the loss of designation to carriers and covered persons.

(f) No health care provider shall advertise or otherwise hold itself out to any carrier, covered person or any other person as a designated health care provider in any medium following the loss of designation.

Notes

N.J. Admin. Code § 11:24C-2.10

Amended by R.2009 d.195, effective 6/15/2009.
See: 40 N.J.R. 6922(a), 41 N.J.R. 2491(a).
In (a)4, added "or" at the end; deleted former (a)5 and (c), and recodified former (a)6 as (a)5 and former (d) through (g) as (c) through (f); and in (c), deleted "and (c)" following "(b)".