52:14-17.30c Contract entered, State Health Benefits Commission, School Employees' Health Benefits Commission, vendor, compliance, time frames.
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/nj/title-52/chapter-14/52-14-17-30c·A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
25. Following the effective date of P.L.2023, c.296 (C.17B:30-55.1 et al.), a contract entered into by the State Health Benefits Commission or the School Employees' Health Benefits Commission with a vendor for claims administration, network management, claims processing, or other related services shall require that the vendor comply with the time frames for providing information concerning utilization management and the processing and payment of claims pursuant to the provisions of section 5 of P.L.2023, c.296 (C.17B:30-55.4) and the time frames governing prior and concurrent authorization pursuant to sections 7, 8, 10, 11, 12, and 15 of P.L.2023, c.296 (C.17B:30-55.6 et al.); provided, however, nothing in P.L.2023, c.296 (C.17B:30-55.1 et al.) shall be construed to limit the authority of, or process followed by, the third-party medical claims reviewer of the commissions or the requirements imposed on carriers with which the commissions' contract pursuant to the provisions of P.L.2019, c.143 (C.52:14-17.30 et al.).
L.2023, c.296, s.25.