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Valuation Bureau Applications |
Mail or fax requests for Health Maintenance Organization (HMO), Selective Contracting Arrangement (SCA), Workers' Compensation Managed Care Organization (WCMCO), Dental Plan Organization (DPO), Dental Service Corporation (DSC) or Organized Delivery Systems (ODS) application packets to the attention of the bureau secretary. The packets contain application forms, item checklists, and relevant New Jersey statutes and regulations.
Address questions regarding applications to a Bureau Health Care Consultant specializing in that area. |
Health Maintenance Organization (HMO) |
- HMO Application
- 2021 HMO Annual Supplement Forms
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Selective Contracting Arrangement (SCA) |
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Workers' Compensation Managed Care Organization (WCMCO) |
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Dental Plan Organization (DPO) |
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Dental Service Corporation (DSC) |
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Organized Delivery System (ODS) |
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Biographical Affidavit |
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