N.J. Admin. Code § 11:24B-5.6

Current through Register Vol. 56, No. 21, November 4, 2024

Section 11:24B-5.6 - Additional standards applicable to contracts with hospitals

(a) The contract shall specify the obligation of the facility to follow clear procedures for granting of admitting and attending privileges, and to notify the ODS and/or carrier when such procedures change.

1. If notification must be made separately to one or more carriers, this shall be stated in the contract.

(b) The contract shall specify the admission authorization procedures for covered persons.

(c) The contract shall specify the procedures for notifying carriers when a covered person presents at emergency rooms.

(d) The contract shall specify procedures for billing and payment, schedules and negotiated arrangements.

N.J. Admin. Code § 11:24B-5.6