N.J. Admin. Code § 11:24B-5.5 - Additional standards applicable to contracts with primary care providers and specialists
(a) The contract
shall specify the mutual responsibility of the provider and carriers to assure
24-hour, seven-day per week emergency and urgent care coverage to covered
persons, and the procedures to assure proper utilization of such
coverage.
(b) The contract shall
specify the obligation, if any, of the provider to acquire and maintain
hospital admitting privileges.
Notes
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