Becoming a Medicaid/NJ FamilyCare Provider

April 21, 2020

Information for Providers

As of April 1, 2020, NJ FamilyCare covers ABA services for children birth to 21 years, a much anticipated benefit for children on Medicaid. Read Medicaid’s announcement for full details. This article provides information about how providers can enroll to offer this important benefit.

Are you a family?  Learn more about accessing this benefit>>

Medicaid Process

Provider agencies that are not currently approved Medicaid/NJ Family Care providers must do the following:

STEP 1: Obtain a Medicaid Provider Number
STEP 2: Contact the MCOs to complete their contracting process

Both steps can be done simultaneously, but please be aware that the contracting process with the MCOs may need to pause until the Medicaid Provider ID number is obtained.

Obtaining a Medicaid Provider Number

Complete the ASD Treatment Provider Application for all provider types and the Addendum. Email, fax, or mail the application, addendum, and required credentials to:

Fax: 609.584.1192
Mail: DXC Provider Enrollment, P.O. Box 4804, Trenton, NJ 08650

Inquiries related to completion of the application and addendum may be directed to DXC Provider Enrollment at 609.588.6036.

For more specific program or MCO inquiries, providers should contact Shanique McGowan at 609.433.0264 or

Contact the MCOs to complete their contracting process

Each MCO has its own requirements. Please inquire directly at the numbers listed below:

MCO Contact Information 
Sally O'Brien
Director of Behavioral Health
Lynda Grajeda
Ann Basil
For Authorization:
Contracting: or your assigned network specialist below:

Dottie Laisi | 856.638.3215
Counties: Atlantic, Cape May, Cumberland, Gloucester, Monmouth, Ocean

Michelle McCusker | 856.638.3223
Counties: Burlington, Camden, Middlesex, Salem

Olivia Inniss | 973.466.4609
Counties: Bergen, Essex, Hudson, Passaic

LaTanya McLean Barkley | 856.638.3228
Counties: Hunterdon, Mercer, Morris, Somerset, Sussex, Union, Warren
For Utilization Management: (escalations only) 
Sarah Disanto  
For Authorization:
Behavioral Health Administrator:
Vincent Visioli  
Catherine Wadsworth
Specialty Network Manager 
Contracting Provider Relations: 
Kate Mignone  
C: 201.259.5934 
Utilization Management:   
Danielle Sandy  
O: 813.206.7696  | C: 808.341.6812 
Care Management: 
Kim Brown-Jones  
O: 973.274.2141 | C: 862.229.4132 

Noralisa Santiago  
O: 973.274.2166 | C: 862.240.2495 

Currently serving children through DCF/CSOC/PerformCare?

For providers already contracted with an MCO, the provider needs only to seek an authorization to provide and bill for ABA services. For those who are not contracted with an MCO, the provider must contact their client’s MCO to inquire about becoming credentialed or request a single case provider agreement for their client.

We’re Here for You

Autism New Jersey continues to work closely with Medicaid and CSOC/PerformCare on this benefit. If you have questions, concerns, or feedback, please contact our Public Policy Director, Eric Eberman at

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