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Page 3 of 4 § 10:71-3.13 County social service agency responsibility and procedures (l) Maximum allowances for examining physician (completion of PA-5) are as follows. 1. Examination at office or hospital: $ 20.00. 2. Examination at patient's home: $ 30.00. 3. Examination at public institution: No fee. (m) Diagnostic examination services rules are: 1. This subsection is concerned with medical specialty consultant evaluation services and diagnostic studies (that is, clinical laboratory, diagnostic x-ray and special diagnostic examinations) incident thereto, authorized by a CSSA upon recommendation of the MRT, when deemed essential as part of the initial determination of medical eligibility. 2. These examinations and procedures are exclusively for diagnostic eligibility, are chargeable as matchable administrative costs and a medical vendor payment should be promptly made upon approval of the consultant's report by the reviewing physician employed by the State agency. 3. The following schedule of fees is exclusive to laboratory, x-ray and other special diagnostic studies which may be required. i. Diagnostic Consultation and Report (ophthalmologic includes refraction: otological includes audiometric screening) other than psychiatric or neurologic: $ 45.00. ii. Diagnostic Consultation requiring complete psychiatric or complete neurological examination or complete neuropsychiatric examination, with detailed report: $ 50.00. iii. Electrocardiogram with interpretation and report: $ 25.00. (n) Payment of the above allowance is to be approved only when the specialist has received prior authorization to perform the diagnostic evaluation and when the examination is performed by a qualified specialist (that is, eligible for or certified by the appropriate American board; or recognized by hospital, community and peers as a specialist, and practice is limited to the specialty). See current membership directory of the Medical Society of New Jersey. (o) The fee(s) listed in fees for professional and diagnostic services issued by the Medical-Surgical Plan of New Jersey (Revised 6-1-73) shall be approved when diagnostic x-ray or radioisotope studies, laboratory and/or special diagnostic studies are deemed essential by the medical specialist authorized to perform the diagnostic consultant evaluation. Payment based on the allowances listed by the Medical-Surgical Plan, Series 575, shall be limited to medical specialists as defined in the section. History HISTORY: As amended, R.1977 d.334, effective October 1, 1977. See: 9 N.J.R. 340(a), 9 N.J.R. 479(c). As amended, R.1978 d.212, effective June 22, 1978. See: 10 N.J.R. 190(c), 10 N.J.R. 344(c). As amended, R.1979 d.364, effective November 1, 1979. See: 11 N.J.R. 379(b), 11 N.J.R. 519(e). As amended, R.1979 d.449, effective November 13, 1979. See: 11 N.J.R. 518(a), 11 N.J.R. 527(d). Amended by R.1995 d.651, effective December 18, 1995.