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| Home > Insurance Division > Managed Care > Managed Care Bulletins | |
| Managed Care Bulletins | |
Prior to September 2005, the Department of Health and Senior Services had oversight of and enforcement authority with respect to laws codified at N.J.S.A. 26:2J-1 et seq., and N.J.S.A. 26:2S-1 et seq., as well as N.J.S.A. 17:48H-2 through 10. Bulletins addressing these laws and rules promulgated pursuant thereto by the Department of Health and Senior Services from 2000 to September 2005 can be accessed below. Subsequent bulletins regarding these statutes and relevant rules issued by the Department of Banking and Insurance will be posted on the Department of Banking and Insurance's web pages listing activity in the same manner as other bulletins are posted. |
| 2000 Bulletins | ||
| Bulletin | Subject | Date |
| OMC 2000-01 | Hospital Contract Terminations |
06-01-00 |
| OMC 2000-02 | Fraud Plan |
07-20-00 |
| OMC 2000-03 | Administrative and UM Denials |
08-15-00 |
| OMC 2000-04 | Complaints and UM Appeals | 08-15-00 |
| 2001 Bulletins | ||
| Bulletin | Subject | Date |
| OMC 2001-01 | Supplement to OMC 2000-03 and -04 | 02-05-01 |
| OMC 2001-02 | Binding IHCAP Decisions | 02-28-01 |
| OMC 2001-03 | Managed Health Care Consumer Assistance Program Disclosure | 08-03-01 |
| OMC 2001-04 | Hemophilia Home Care Standards, Interim Compliance | 08-03-01 |
| 2002 Bulletins | ||
| Bulletin | Subject | Date |
| OMC 2002-01 | UM Appeals - Stage 1 and 29 C.F.R. 2560.503-1 |
06-20-02 |
| OMC 2002-02 | IHCAP Fees and Forms | 06-25-02 |
| 2003 Bulletins | ||
| Bulletin | Subject | Date |
| OMC 2003-01 | Regulatory Notice of Hospital Termination | 04-01-03 |
| OMC 2003-02 | Notice of Changes in Key Personnel | 05-28-03 |
| OMC 2003-03 | Managed Health Care Consumer Assistance Program Status | 10-01-03 |
| OMC 2003-04 | Medical Screening Examinations | 10-22-03 |
| 2004 Bulletins | ||
| Bulletin | Subject | Date |
| OMC 2004-01 | Review of Provider Agreements > Checklist | 4-20-04 |
| OMC 2004-02 | Side Agreements | 08-11-04 |
| OMC 2004-03 | Carrier Consent Forms for Appeals | 09-24-04 |
| 2005 Bulletins | ||
| Bulletin | Subject | Date |
| OMC 2005-01 | Hemophilia Home Care Standards, Interim Compliance | 02-02-05 |
| OMC 2005-02 | Hemophilia Home Care Designations | 06-30-05 |
| OMC 2005-03 | Bariatric Surgery | 06-30-05 |
| OMC 2005-04 | Physician Credentialing | 08-02-05 |
| OMC 2005-05 | IHCAP Contractor and Fee Changes | 08-19-05 |
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State of New Jersey New Jersey Department of Banking and Insurance |
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