N.J. Admin. Code § 11:24C-3.8 - Effect of Bulletin OMC 2001-04

(a) Carriers that have agreements for the provision of services and supplies for home treatment of bleeding episodes associated with hemophilia with one or more persons identified in Bulletin OMC 2001-04 as acceptable health care providers of such services may continue to refer covered persons to such health care providers, and the carrier shall be considered in compliance with these rules until whichever of the following occurs first:

1. The Department makes a determination and provides written notice to the person that the person does not meet the standards for designation, if the person files an application for designation in accordance with 11:24C-2.4;

2. The person loses designation pursuant to 11:24C-2.1 0; or

3. The carrier and person otherwise terminate their agreement, or amend one or more terms thereof, with respect to the provision of services for home treatment of bleeding episodes associated with hemophilia.

(b) In the event that a person identified in Bulletin OMC 2001-04 as an acceptable health care provider of services and supplies for the home treatment of bleeding episodes associated with hemophilia elects not to file an application for designation, or files an application but does not receive designation, the carrier shall comply with the requirements of 11:24C-3.4, as if the person had lost designation.

Notes

N.J. Admin. Code § 11:24C-3.8

Amended by R.2009 d.195, effective 6/15/2009.
See: 40 N.J.R. 6922(a), 41 N.J.R. 2491(a).
In the introductory paragraph of (a), inserted "of the following"; deleted former (a)1 and recodified former (a)2 through (a)4 as (a)1 through (a)3; and in (a)1, deleted "in person" preceding "that".