N.J. Admin. Code § 11:24C-2.5 - Application: demonstration of qualifications for becoming a designated health care provider of home treatment services

(a) The applicant shall submit copies of all registrations, licenses and permits issued to the applicant by the State of New Jersey pursuant to Title 45 and Title 26 of the New Jersey Statutes, and shall demonstrate that the applicant is in good standing with respect to such licenses, registrations and permits.

(b) The applicant shall demonstrate each of the following:

1. Its ability to provide services and to maintain and provide all brands of blood product, including low, medium and high-assay range levels to execute treatment regiments as prescribed by a covered person's attending physician, without making substitutions of blood products except upon prior approval of the attending physician;

2. Its ability to maintain and provide all needed ancillary supplies for the treatment or prevention of bleeding episodes, including blood infusion equipment and cold compression packs;

3. Its ability to deliver any and all prescribed blood products, medications, nursing services and blood infusion equipment within three hours after receipt of a prescription for a covered person's emergent situation, 24-hours per day, seven days per week;

4. Its experience in management of bleeding disorders;

i. Experience may be demonstrated by performance of services in other states;

ii. Experience shall include, at a minimum, the provision of services for the home treatment of hemophilia;

5. Its ability to perform appropriate recordkeeping and maintain appropriate records, consistent with the medical and health record standards for home health agencies at N.J.A.C. 8:42;

6. Its ability to monitor and actively participate in product recall and notification systems, both drug-related and otherwise;

7. Its ability to assist covered persons in obtaining third party reimbursements when necessary or appropriate;

8. Its ability to comply with proper removal and disposal of hazardous waste, in accordance with the standards applicable to home health agencies at N.J.A.C. 8:42;

9. That it has written policies and procedures regarding the discontinuation of services when an individual is no longer able to pay for or assure payment of the costs associated with the services rendered by the applicant;

i. The applicant shall submit its written policies and procedures to the Department;

ii. The applicant's written policies and procedures shall address the issue of dissemination of the policies and procedures to covered persons upon request;

10. Its ability to disseminate information to covered persons regarding probable costs for services that the applicant may provide that are not covered by a covered person's health benefits plan; and

11. Its program for credentialing and recredentialing the health care practitioners or other health care providers contracted with or employed by the applicant.

Notes

N.J. Admin. Code § 11:24C-2.5