New Jersey S4036 mandates that Medicaid and health insurance contracts notify providers six months in advance of policy changes that could deny.
New Jersey S4036 requires that contracts between health care providers and carriers or the State Medicaid program, including the FamilyCare Health Coverage Program, include a provision for carriers to notify providers at least six months before any policy changes that could result in the denial of coverage for services provided to a covered person. This notification requirement applies to contracts entered into or renewed after the act takes effect, which is 120 days following its enactment.
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