26:2J-4.33 Health maintenance organization to provide installment payments to obstetrical provider for maternity services.
8. a. Every certificate of authority to establish and operate a health maintenance organization issued or continued in this State pursuant to P.L.1973, c.337 (C.26:2J-1 et seq.), or approved for issuance or renewal in this State, by the Commissioner of Banking and Insurance, on or after the effective date of this act, for a health maintenance organization which provides benefits for maternity services, shall provide for reimbursement in installments to an obstetrical provider licensed in New Jersey for maternity services rendered during the term of a covered person's pregnancy.
b.For the purposes of this section, "obstetrical provider licensed in New Jersey" means:
(1)an obstetrician/gynecologist licensed by the State Board of Medical Examiners; or
(2)a midwife licensed by the State Board of Medical Examiners as a certified midwife or a certified nurse midwife.
c.This section shall apply to all enrollee agreements in which the health maintenance organization has reserved the right to change the schedule of charges.
L.2009, c.113, s.8.
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Last modified: October 11, 2016