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Current as of January 01, 2024 | Updated by Findlaw Staff
The contract between a participating health care provider and a carrier which offers a managed care plan:
a. Shall state that the health care provider shall not be penalized or the contract terminated by the carrier because the health care provider acts as an advocate for the patient in seeking appropriate, medically necessary health care services;
b. Shall not provide financial incentives to the health care provider for withholding covered health care services that are medically necessary as determined in accordance with section 6 of this act, 1 except that nothing in this subsection shall be construed to limit the use of capitated payment arrangements between a carrier and a health care provider; and
c. Shall protect the ability of a health care provider to communicate openly with a patient about all appropriate diagnostic testing and treatment options.
Cite this article: FindLaw.com - New Jersey Statutes Title 26. Health and Vital Statistics 26 § 2S-9 - last updated January 01, 2024 | https://codes.findlaw.com/nj/title-26-health-and-vital-statistics/nj-st-sect-26-2s-9/
FindLaw Codes may not reflect the most recent version of the law in your jurisdiction. Please verify the status of the code you are researching with the state legislature before relying on it for your legal needs.
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