N.J. Admin. Code § 11:24C-4.4
Current through Register Vol. 56, No. 9, May 6, 2024
When participating providers are reimbursed on a basis other than fee-for-service (for example, capitation, per diem, or percent of charges), the agreement shall specify the dollar amount or methodology used by the carrier to determine reimbursement, and identify the services included in and excluded from the alternate reimbursement methodology.
N.J. Admin. Code § 11:24C-4.4