New Jersey Administrative Code
Title 11 - INSURANCE
Chapter 6 - NEW JERSEY WORKERS' COMPENSATION MANAGED CARE ORGANIZATIONS
Subchapter 2 - NEW JERSEY WORKERS' COMPENSATION MANAGED CARE ORGANIZATIONS
Section 11:6-2.8 - Monitoring; auditing
Universal Citation: NJ Admin Code 11:6-2.8
Current through Register Vol. 56, No. 24, December 18, 2024
(a) The WCMCO will ensure that it will continuously meet the requirements of this subchapter and any amendments thereto.
(b) The Department shall monitor and conduct periodic audits of the approved WCMCO as necessary to ensure compliance with the WCMCO approval criteria set forth in this subchapter.
(c) All records of the approved WCMCO and its individual participating physicians or providers shall be disclosed upon request of and in a format acceptable to the Commissioner. If such records are maintained in a coded or semi-coded manner, a legend for the codes shall be provided to the Commissioner.
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