N.J. Admin. Code § 11:22-4.13 - Confidentiality

(a) Any data or information relating to the diagnosis, treatment or health of an enrollee, prospective enrollee or contract holder obtained by a licensed organized delivery system from the carrier, contract holder, enrollee, prospective enrollee or any provider shall be confidential and shall not be disclosed to any person except as provided by N.J.S.A. 17:48H-30.

(b) In addition to (a) above, the following documents shall be confidential and shall not be considered public documents pursuant to the "Right-to-Know" law, N.J.S.A. 47:1A-2:

1. Pending applications for a license;

2. In biographical affidavits, the affiant's social security number and residence address;

3. The applicant's business plan;

4. Compensation formulas and fee schedules; and

5. With respect to an examination of a licensed ODS, all information as set forth in N.J.S.A. 17:23-24f and N.J.A.C. 11:1-36.6.

Notes

N.J. Admin. Code § 11:22-4.13

Recodified from N.J.A.C. 11:22-4.12 by R.2008 d.179, effective 7/7/2008.
See: 40 N.J.R. 1604(a), 40 N.J.R. 4221(a).
Former N.J.A.C. 11:22-4.13, Penalties, recodified to N.J.A.C. 11:22-4.14.