New Jersey S4434 mandates health insurance and Medicaid reimbursement for clinical laboratories regardless of managed care plan participation.
New Jersey S4434 requires health insurance carriers and Medicaid contracts to reimburse clinical laboratories for laboratory services, irrespective of whether the laboratory participates in the managed care plan. The reimbursement rate must match that of a participating clinical laboratory for comparable services. Carriers retain the right to review services for medical necessity.
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- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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