Section 52:14-17.27a - Audit programs for SHBP.

NJ Rev Stat § 52:14-17.27a (2019) (N/A)

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52:14-17.27a Audit programs for SHBP.

17. a. The State Health Benefits Commission shall establish an audit program through which it shall conduct a continuous review of the various public employers participating in the State Health Benefits Program for the purpose of ensuring that only eligible employees and retirees, and their dependents, are receiving health care coverage under the program. Every public entity whose employees are covered by the program, as well as employees and retirees thereof, and their dependents, and any other public entity having relevant information, shall cooperate fully with the commission and shall provide all information, records and documents requested by the commission in connection with an audit.

b. The State Health Benefits Commission shall establish and contract for a Medicare Primary Assignment and Audit Program through which it shall conduct a continuous review of the State Health Benefits Program for the purposes of ensuring that all persons who are participants and their dependents of the State Health Benefits Program and who are eligible for Medicare under federal law are properly enrolled in Medicare with Medicare as the primary provider of their health care benefits coverage and with the State Health Benefits Program as their secondary provider of their health care benefits coverage.

L.2008, c.89, s.17; amended 2018, c.88, s.1.

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Section 52:14-17.27 - State Health Benefits Commission, State Health Benefits Plan Design Committee.

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Section 52:14-17.27b - Utilization of super conciliator.