Provider Resource Information

This material is available to ensure that Physicians and Health Care Professionals have the infor

Health Management Program

As a part of our Physicians and Health Care Professional Network, you have access to programs to

View Management Programs >

Provider Recruitment

 

Becoming a participating Horizon NJ Health provider and join New Jersey's largest

Latest News
Prior Authorization Policy Change for Endodontic Procedures

In an effort to enhance the quality of care for our members, Horizon NJ Health has decided to change its prior-authorization policies regarding root canal services performed by endodontists. Effective March 1, 2016, we will require prior...

CareAffiliate Provider Search Enhancement

We’re pleased to announce that the provider search functionality within the CareAffiliate online authorization tool has been enhanced to make it easier to select a doctor or facility when creating an authorization by returning more focused...

Prior-Authorization Requirements for Outpatient Facility Based Physical and Occupational Therapy (PT and OT) Services

Beginning Feb. 1, 2016 the following changes to our prior-authorization requirements for Outpatient facility based Physical and Occupational Therapy (PT and OT) services will be effective: Initial therapy evaluation will NOT require an...