New Jersey Statutes 52:14-17.29m. State health benefits plan to provide benefits for orthotic and prosthetic appliances
Current as of: 2023 | Check for updates
|
Other versions
Terms Used In New Jersey Statutes 52:14-17.29m
- Contract: A legal written agreement that becomes binding when signed.
- person: includes corporations, companies, associations, societies, firms, partnerships and joint stock companies as well as individuals, unless restricted by the context to an individual as distinguished from a corporate entity or specifically restricted to one or some of the above enumerated synonyms and, when used to designate the owner of property which may be the subject of an offense, includes this State, the United States, any other State of the United States as defined infra and any foreign country or government lawfully owning or possessing property within this State. See New Jersey Statutes 1:1-2
- State: extends to and includes any State, territory or possession of the United States, the District of Columbia and the Canal Zone. See New Jersey Statutes 1:1-2
9. The State Health Benefits Commission shall ensure that every contract purchased by the commission on or after the effective date of this act that provides hospital or medical expense benefits, shall provide benefits to any person covered thereunder for expenses incurred in obtaining an orthotic or prosthetic appliance from any licensed orthotist or prosthetist, or any certified pedorthist, as determined medically necessary by the covered person’s physician.
As used in this section, “orthotic appliance,” “prosthetic appliance,” “licensed orthotist” and “licensed prosthetist” have the meaning assigned to them in section 3 of P.L.1991, c.512 (C. 45:12B-3) and “certified pedorthist” has the meaning assigned to it in subsection j. of section 18 of P.L.1991, c.512 (C. 45:12B-18).
b. On and after the effective date of this act, a contract purchased by the commission shall reimburse for orthotic and prosthetic appliances at the same rate as reimbursement for such appliances under the federal Medicare reimbursement schedule.
c. The benefits shall be provided to the same extent as for any other medical condition under the contract.
L.2007, c.345, s.9.