N.J. Admin. Code § 11:24C-4.1 - Purpose and scope
(a) The purpose
of this subchapter is to establish standards relating to agreements entered
into between carriers and health care providers.
(b) This subchapter shall apply to all
insurance companies, health service corporations, hospital service
corporations, medical service corporations, and health maintenance
organizations (HMOs) authorized to issue health benefits plans in this State
and to organized delivery systems (ODSs). This subchapter shall not apply to
those contracts entered into between a carrier and Medicaid to provide Medicaid
Only coverage or NJ FamilyCare coverage.
(c) On and after January 1, 2014, this
subchapter shall apply to all newly entered agreements and all renewals of
previously existing agreements.
Notes
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