IHCAP Notice Requirement for Physician Offices
The New Jersey Department of Banking and Insurance (DOBI) recently adopted regulations requiring physician offices to post notice regarding patient rights under the Independent Health Care Appeals Program (IHCAP). MSNJ provided comments to DOBI on the proposed regulations requesting that the notice include language that clarifies that IHCAP may not apply to all patient plans. We thank DOBI for honoring our request. Note that IHCAP does not apply to most government-sponsored coverage, such as Medicare, the Federal Employee Health Benefits Program, the New Jersey State Health Benefits Program and self-funded plans according to DOBI. The notice language may be downloaded from DOBI’s website. The notice must be posted by August 3, 2014, include the specific content from DOBI’s website, and be printed on at least 8 ½” by 11″ paper with 12-point type or larger. Physicians may choose to print it on larger paper, in order to incorporate all the information on one sheet; in this case the text must also be at least 12-point type. MSNJ created a one page sample notice, for member use. Please feel free to download, print, and post this legal sized (8 ½” by 14″) poster in your office.
We also recommend that practice’s also have available, the plans that DOBI has excluded from the IHCAP appeal process. This information can be found on the DOBI website FAQ number 25 or downloaded here.