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    • COVID-19 Frequently Asked QuestionsCOVID-19 Frequently Asked Questions
    • Members Will Incur No Costs for Treatment of COVID-19Members Will Incur No Costs for Treatment of COVID-19
    • Waiving Pre-Certification/Prior Authorization requirements for Physical Health Post-Acute Facility AdmissionsWaiving Pre-Certification/Prior Authorization requirements for Physical Health Post-Acute Facility Admissions
    • Horizon BCBSNJ Commits $2.5 Million for Masks, Face Shields, Food and Social Services to Protect Our Communities and Our Health ProfessionalsHorizon BCBSNJ Commits $2.5 Million for Masks, Face Shields, Food and Social Services to Protect Our Communities and Our Health Professionals
    • Reminder to use specific codes when evaluating for COVID-19Reminder to use specific codes when evaluating for COVID-19
    • Administrative Policy: Credentialing and Recredentialing During the COVID-19 PandemicAdministrative Policy: Credentialing and Recredentialing During the COVID-19 Pandemic
    • Waiving Pre-Certification/Prior Authorization requirements for acute inpatient facility admissionsWaiving Pre-Certification/Prior Authorization requirements for acute inpatient facility admissions
    • Referrals no longer required for in-network specialistsReferrals no longer required for in-network specialists
    • Governor suspends all elective proceduresGovernor suspends all elective procedures
    • New benefit: Applied Behavior Analysis servicesNew benefit: Applied Behavior Analysis services
    • Providing telephonic care with no costs to membersProviding telephonic care with no costs to members
    • COVID-19 Response: Eliminating Cost-Sharing for Qualified In-Network Telemedicine ServicesCOVID-19 Response: Eliminating Cost-Sharing for Qualified In-Network Telemedicine Services
    • COVID-19 CPT testing codesCOVID-19 CPT testing codes
    • State of Emergency and Public Health Emergency – Office ClosuresState of Emergency and Public Health Emergency – Office Closures
    • Telemedicine and Telehealth Services Reimbursement PolicyTelemedicine and Telehealth Services Reimbursement Policy
    • Eliminating Cost Sharing Related to COVID-19 Testing and EvaluationEliminating Cost Sharing Related to COVID-19 Testing and Evaluation
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      • Horizon NJ Health Foot Orthotic Shoes and Inserts Reimbursement PolicyHorizon NJ Health Foot Orthotic Shoes and Inserts Reimbursement Policy
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        • Modifier JW – Drug WasteModifier JW – Drug Waste
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        • Modifier 77- Repeat Procedure or Service by Another PhysicianModifier 77- Repeat Procedure or Service by Another Physician
        • Modifier 78 – Unplanned Return to the ORModifier 78 – Unplanned Return to the OR
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  • COVID-19 Information
      • For Providers: 1-800-682-9091

    • Behavioral Health Continuity During the COVID-19 Public Health Emergency

      COVID-19 Frequently Asked Questions

      Members Will Incur No Costs for Treatment of COVID-19

      Waiving Pre-Certification/Prior Authorization requirements for Physical Health Post-Acute Facility Admissions

      Horizon BCBSNJ Commits $2.5 Million for Masks, Face Shields, Food and Social Services to Protect Our Communities and Our Health Professionals

      Reminder to use specific codes when evaluating for COVID-19

      Administrative Policy: Credentialing and Recredentialing During the COVID-19 Pandemic

      Waiving Pre-Certification/Prior Authorization requirements for acute inpatient facility admissions

      Referrals no longer required for in-network specialists

      Governor suspends all elective procedures

      New benefit: Applied Behavior Analysis services

      Providing telephonic care with no costs to members

      COVID-19 Response: Eliminating Cost-Sharing for Qualified In-Network Telemedicine Services

      COVID-19 CPT testing codes

      State of Emergency and Public Health Emergency – Office Closures

      Telemedicine and Telehealth Services Reimbursement Policy

      Eliminating Cost Sharing Related to COVID-19 Testing and Evaluation

      Staying Informed: COVID-19 (Coronavirus)

  • Resources
      • For Providers: 1-800-682-9091

    • Adolescent Risk Behaviors and Depression PIP Handbook

      Advance Directives

      ASAM Criteria for Patients and Families

      Clinical and Preventive Guidelines

      Credentialing and Recredentialing Responsibilities

      Cultural Competency

      Demographic updates

      Educational Material for Providers

      eviCore healthcare

      FAQ for MUE Notification

      Forms

      Guides

      Health Literacy

      Laboratory Corporation of America (LabCorp)

      Medicaid Reimbursement and Billing

      MLTSS Bed Type Revenue Codes

      MLTSS Non-Medical Professional Provider Manual

      MLTSS Orientation

      MUE Rule Notification Letter Medicaid

      NJ Addiction Services Hotline

      Pharmacy Utilization Management Programs

      Policies

      Provider Manual

      Provider Newsletter

      State of New Jersey Contractual Requirements

      Timely Filing Requirements

      Utilization Management

      Well-Being Screening Tool

  • Programs
      • For Providers: 1-800-682-9091

    • Dental

      Disease Management Programs to Help Your Patients

      Education Opportunities

      Fluoride Varnish Pediatric Application

      Focus on Risk Adjustment

      Horizon Behavioral Health℠

      Horizon NJ TotalCare (HMO D-SNP)

      Managed Long Term Services and Supports

      Mom's GEMS Prenatal Program

      Office Based Addiction Treatment (OBAT) Program

      Primary Care Physician Program

      Quality Improvement Program

  • Provider Recruitment
      • For Providers: 1-800-682-9091

    • Join the Horizon NJ Health Provider Network

      Ancillary Application Request

  • News
      • For Providers: 1-800-682-9091

    • Updates and Announcements

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Latest News
Posted on March 31, 2020

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Provider Newsletter, Issue 1, 2020 opens in a new window

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