• Description of ODS
• Regulatory Requirements
• Application for certification - PDF or MS Word
  To be completed by entities that will be compensated on a basis that entails no assumption of financial risk.*

• Application for license (PDF)
  To be completed by entities that will be compensated on a basis that entails the assumption of financial risk, as defined at N.J.A.C. 11:22-4.2. 
  
  Entities that will be compensated on a basis that entails the assumption of financial risk, but this financial risk meets the criteria of de minimus risk, as set forth at N.J.A.C. 11:22-4.3 (b) may be granted an exemption from licensure.   If you are claiming that the financial risk is de minimus, check off on the Application Coversheet that you are applying for “Exemption”, otherwise check off “Licensure.”*
  
  *If you are not sure which application to use, please call Diane Scholl at (609) 292-5427, Extension 50330 or e-mail her at diane.scholl@dobi.state.nj.us

• Approved Organized Delivery Systems

An Organized Delivery System (ODS) is a legal entity that contracts with a carrier for the purpose of providing or arranging for the provision of health care services to those persons covered under a carrier’s health benefits plan, but which is not a licensed health care facility or other health care provider.

Examples of the types of entities that are an ODS include preferred provider organizations (PPOs), Physician Hospital Organizations (PHOs) and Independent Practice Associations (IPAs). In order to contract with a carrier, an ODS must become licensed or certified. However, by law, an entity that only contracts to provide pharmaceutical services, or case management services, or employee assistance plan services does not have to become licensed or certified.

Certain additional entities that might otherwise appear to be an ODS also are exempt from obtaining certification or licensing. More details are set forth in regulations.

Cole Vision Services, Inc.
1925 Enterprise Parkway
Twinsburg, OH 44087
Telephone: 513-765-3843
Web site: www.colemanagedvision.com

Davis Vision
159 Express Street
Plainview, NY 11803
Telephone: 516-932-9500
Web site: www.davisvision.com

DenteMax (Health Care Exchange, Ltd.)
28588 Northwestern Highway - Suite 450
Southfield, MI 48034
Telephone: 1-800-752-1547
Web site: www.dentemax.com

MultiPlan, Inc.
115 Fifth Avenue
New York, NY 10003-1104
Telephone: 212-780-2000
Web site: www.multiplan.com

National Visions Administrators, LLC
1200 Route 46 West, 2nd Floor
Clifton, New Jersey 07013
Telephone: 973-574-2400

Private Healthcare Systems, Inc.
1100 Winter Street
Waltham, MA 02451-1227
Telephone: 1-800-253-4417
Web site: www.PHCS.com

Spectera, Inc.
2811 Lord Baltimore Drive
Baltimore, MD 21244
Telephone: 1-800-638-3895
Web site: www.spectera.com