For Providers

Updates and Announcements

Vaccines for Children (VFC) Program Changes

Posted By NJHealth on September 12, 2014
Tags: VFC

Effective July 1, 2014, the Vaccines for Children (VFC) program no longer provides vaccines for members enrolled in NJ FamilyCare Plans B, C, and D. 

NaviNet Pended Claims Web Notice

Posted By NJHealth on September 11, 2014

We have been receiving inquiries about claims in NaviNet that are shown to be in pended status. We want to remind you that claims in pended status have not yet been processed.

List of Pre-Authorization Codes Fulfilled by NIA

Posted By NJHealth on August 27, 2014

National Imaging Associates (NIA) provides pre-authorizations on behalf of Horizon NJ Health for a select group of codes.

Quality Profile Report Available on

Posted By Admin on August 14, 2014
Tags: NaviNet

As part of our ongoing commitment to Continuous Quality Improvement at Horizon NJ Health, we want to make you aware of some changes we are making to the distribution method of the quarterly Physician Quality Profile reports.

Affordable Care Act (ACA) Payments

Posted By Admin on August 13, 2014

Many of providers have been receiving enhanced monthly payments as part of available incentives mandated by the Affordable Care Act (ACA). We would like to inform you that these ACA payments will not be issued in the August cycle.

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