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Hemophilia-related Services |
Designated Hemophilia Home Care Providers |
Carriers offering health benefits plans that are managed care plans must contract with designated health care providers for the delivery of services for the home treatment of bleeding episodes associated with hemophilia, including the purchase of blood products and blood infusion equipment. (See section 1 of L. 2001, c. 121, codified at N.J.S.A. 26:2S-10.1, and sections 3 through 10 of L. 2001, c. 121, variously codified throughout Titles 17, 17B and 26 of the New Jersey Statutes.) The Department of Banking and Insurance is authorized to designate the hemophilia home care providers. Companies interested in becoming designated should refer to the rules at N.J.A.C. 11:24C-2 for application standards and procedures. The Department will issue a public notice in the New Jersey Register when changes in designation status occur, and will update the web site periodically to reflect those changes. |
Designated Hemophilia Home Care Providers |
1. |
ADIMA d/b/a BioScrip |
Effective as of April 12, 2005 |
2. |
ACCREDO Health Group, Inc. |
Effective as of June 13, 2005 (conditional approval effective from April 12, 2005 through June 12, 2005) |
3. |
Caremark Rx, Inc. |
Effective as of June 13, 2005 (conditional approval effective from April 12, 2005 through June 12, 2005) |
4. |
Hemophilia Resources of America |
Effective as of June 13, 2005 (conditional approval effective from April 12, 2005 through June 12, 2005) |
5. |
Pediatric Services of America, Inc. |
Effective as of June 13, 2005 (conditional approval effective from April 12, 2005 through June 12, 2005) |
6. |
Children's Hospital Home Care |
Effective as of June 13, 2005 (conditional approval effective from April 12, 2005 through June 12, 2005), for the following counties: Atlantic, Burlington, Camden, Cape May, Cumberland, Gloucester, Hunterdon, Mercer, Middlesex, Monmouth, Ocean, Salem, Somerset |
7. |
Coram Alternative Site Services |
Effective as of February 27, 2006 |
8. |
Curative Critical Care Systems |
Effective as of February 27, 2006 |
9. |
New Life Homecare, Inc. |
Effective as of February 27, 2006, for the following counties: Essex, Union, Morris, Passaic, Bergen, Monmouth, Ocean, Hudson and Middlesex |
10. |
OptionCare Hemophilia Services |
Effective January 4, 2007 |
11. |
MedPro Rx, Inc. |
Effective January 30, 2008 |
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| State-recognized Outpatient Regional Hemophilia
Treatment Centers |
Under certain conditions, carriers offering health benefits plans that are managed care plans must provide payment to the clinical laboratory at a hospital with a State-recognized outpatient regional hemophilia treatment center for covered services rendered to a covered person with hemophilia, regardless of whether the hospital's clinical laboratory is a participating provider. (See section 2 of L. 2001, c. 121, codified at N.J.S.A. 26:2S-10.2, and sections 3 through 10 of L. 2001, c. 121, variously codified throughout Titles 17, 17B and 26 of the New Jersey Statutes.) Generally, carriers must comply with this requirement when a covered person's attending physician determines it is medically necessary to do so with respect to treatment of the covered person's hemophilia. Rules addressing this issue are set forth at N.J.A.C. 11:24C-3.
The Department elected to specify the hospitals based upon their current federal designation as regional hemophilia treatment centers.
In the event a discrepancy between the list of regional hemophilia treatment centers set forth here and the list set forth by the federal government at: www.cdc.gov/ncbddd/hbd/htc_list.htm,
or other current literature issued by the federal government, the information set forth by the federal government controls. |
| The following are State-recognized outpatient regional hemophilia treatment centers: |
State-recognized Outpatient Regional Hemophilia Treatment Centers |
Children's Hospital of Philadelphia Specialty Center
New Jersey Section of Hematology/Oncology
1012 Laurel Oak Road, Building 1014
Voorhees, NJ 08043
HTC ID: 152
Region III |
Children's Hospital of New Jersey
Newark Beth Israel Medical Center
Valerie Fund Children's Center
201 Lyons Avenue at Osborne Terrace
Newark, NJ 07112
HTC ID: 070
Region II |
Newark Beth Israel Medical Center
Adult Hematology Programs
201 Lyons Avenue
Newark, NJ 07112
HTC ID: 070
Region II |
St. Michael's Medical Center
Nadeene Brunini Comprehensive Hemophilia Care Center
268 Martin Luther King, Jr. Blvd
Newark, NJ 07102
HTC ID: 055
Region II |
UMDNJ - Robert Wood Johnson University Hospital
New Jersey Regional Hemophilia Program
Division of Hematology
One Robert Wood Johnson Place
P.O. Box 2601
New Brunswick, NJ 08903-0019
HTC ID: 054
Region II |
NOTE: In the event a discrepancy between the list of regional hemophilia treatment centers set forth here and the list set forth by the federal government at www.cdc.gov/ncbddd/hbd/htc_list.htm, or other current literature issued by the federal government, the information set forth by the federal government controls. |
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