New Jersey New Jersey GR – 4.16.19 I. Scope and Applicability A. Who is subject to the state’s grievance regulations? Health Maintenance Organizations N.J. Stat. § 26:2J-12(a) HMOs? Yes. Insurers? Yes, if the insurer is operating a managed care plan. Utilization Review Organizations? No. ACOs? Yes, if the ACO is acting as an HMO. PPOs? […]

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