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>>
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
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 firstname.lastname@example.org.
Contact the MCOs to complete their contracting process
Each MCO has its own requirements. Please inquire directly at the numbers listed below:
Director of Behavioral Health
BHNetworkRelations@horizonblue.com or your assigned network specialist below:
email@example.com | 856.638.3215
Counties: Atlantic, Cape May, Cumberland, Gloucester, Monmouth, Ocean
firstname.lastname@example.org | 856.638.3223
Counties: Burlington, Camden, Middlesex, Salem
email@example.com | 973.466.4609
Counties: Bergen, Essex, Hudson, Passaic
LaTanya McLean Barkley
firstname.lastname@example.org | 856.638.3228
Counties: Hunterdon, Mercer, Morris, Somerset, Sussex, Union, Warren
For Utilization Management: (escalations only)
Behavioral Health Administrator:
Specialty Network Manager
|Contracting Provider Relations:
O: 813.206.7696 | C: 808.341.6812
O: 973.274.2141 | C: 862.229.4132
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 email@example.com.
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