NJ Health Maintenance Organizations

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Health Maintenance Organizations (HMOs)
Please Note:	For questions about Medicare HMOs: Contact Department of Health and Senior Services For questions about Medicaid and Medicaid-type HMO coverage: Contact Division of Medical Assistance and Health Services For questions about Individual or Small Employer (group) Health coverage: See Individual Health Coverage/Small Employer Health programs

General Information
Additional information on enrollment and financial information on HMOs is on the Department's Life and Health Actuarial page.
HMOs in New Jersey – Definitions and background HMO Regulatory Requirements Authorized HMOs Sample Premiums: Small Employer Health coverage > Individual Health Coverage program Statutes and Regulations HMO Membership by Contract Type (12/31/2007) (PDF) Quarterly Statistics (06/30/2009) Total Membership by County (PDF) Commercial Enrollment by County (PDF) Medicare Enrollment by County (PDF) DHS Enrollment by County (PDF) Self-funded Enrollment by County (PDF) HMO Membership by Line of Business since 12/31/1998 (PDF) HMO Membership Change since 12/31/1998 (PDF)

Financial Data
Additional information on enrollment and financial information on HMOs is on the Department's Life and Health Actuarial page.
YTD Financial Data by HMO (06/30/2009) (PDF)

Reports/Applications/Forms
HMO Reports Application (for companies) 2008 Annual Supplement Forms Commercial (MS Excel) Medicaid (MS Excel) NJ Universal Physican Credentialing Form PDF MS Word Instructions (PDF) NJ Physician Recredentialing Application Form PDF MS Word Instructions (PDF)



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