N.J. Admin. Code § 11:24C-4.1

Current through Register Vol. 56, No. 11, June 3, 2024

Section 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.

N.J. Admin. Code § 11:24C-4.1