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Latest News
New Medical Appeal Request Form

When authorization requests are denied, facility and provider denial notification letters will now include a new form known as a Medical Appeal Request Form. When the provider receives this form - which is optional to use - it will already...

2018 Monthly Schedule for Horizon NJ TotalCare (HMO SNP) Model of Care Webinars

Horizon NJ Health’s Department of Provider Contracting and Strategy (PC&S) offers informational webinars twice each month for the Horizon NJ TotalCare (HMO SNP) Model of Care. The last February session will be held February 28, 2018;...

New Reimbursement Policy for Foot Orthotic Shoes and Inserts

Effective April 1, 2018, reimbursement limitations will be applied to a specific quantity and set of foot orthotic shoes and inserts within a calendar year. Orthotic shoes and inserts will be reimbursed according to Horizon NJ Health’s Foot...