New Jersey Statutes Title 30. Institutions and Agencies 30 § 4D-6h

As used in this act:

“Contractor” means a health maintenance organization authorized to operate in this State which contracts with the Department of Human Services for the provision of health care services to recipients of Medicaid and enrollees of NJ FamilyCare.

“Medicaid” means the Medicaid program established pursuant to P.L.1968, c. 413 (C.30:4D-1 et seq.).

“NJ FamilyCare” means the Children's Health Care Coverage Program established pursuant to P.L.1997, c. 272 (C.30:4I-1 et seq.) and the FamilyCare Health Coverage Program established pursuant to P.L. 2000, c. 71 (C.30:4J-1 et seq.).

“Non-participating hospital” means a hospital with which the contractor does not have a written provider agreement that complies with applicable State law and regulations, including N.J.A.C.8:38-15.2 and 10:74-2.1.