New Jersey Administrative Code
Title 11 - INSURANCE
Chapter 24B - ORGANIZED DELIVERY SYSTEMS
Subchapter 4 - MANAGEMENT AGREEMENTS WITH CARRIERS
- Section 11:24B-4.1 - Scope
- Section 11:24B-4.2 - General provisions
- Section 11:24B-4.3 - Termination
- Section 11:24B-4.4 - Network management
- Section 11:24B-4.5 - Credentialing
- Section 11:24B-4.6 - Utilization management guidelines development
- Section 11:24B-4.7 - Utilization management program
- Section 11:24B-4.8 - Utilization management appeal program
- Section 11:24B-4.9 - Continuous quality improvement program
- Section 11:24B-4.10 - Complaint mechanisms
- Section 11:24B-4.11 - Issuance of contracts on approved forms
- Section 11:24B-4.12 - Review and approval of management agreements
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