These sessions provide an overview of the current options for submitting demographic updates. They are appropriate for both medical and Behavioral Health providers.

Additional dates will be posted when available.

An overview of doing business with us; intended for new participating professional providers but open to all.

An overview of doing business with us; intended for new participating ancillary providers but open to all. Please email BHNetworkRelations@HorizonBlue.com to request a facility orientation.

An overview of NaviNet's online platform and self-service options; it is recommended that you first attend an orientation webinar.

Provides important updates and reminders for participating professional providers.

Applied Behavior Analysis (ABA) Commercial and GP

Provides important updates and reminders for participating ABA providers.

Provides important updates and reminders for participating ancillary providers.

Additional dates will be posted when available.

A detailed review of how to submit authorizations and pre/post service medical necessity reviews through our Utilization Management Request tool on NaviNet. Please see the attached Self Study Guide for instructions on using the Utilization Management Request Tool.

The Centers for Medicare & Medicaid Services (CMS) requires that all contracted medical and behavioral health providers and staff receive basic training about our Fully-Integrated Dual Eligible Special Needs Plan (FIDE-SNP) Model of Care. Our Horizon NJ TotalCare (HMO D-SNP) Model of Care is the plan we offer for delivering coordinated care and care management to special needs members.

This online webinar, which is offered two days a month, must be completed by:

• All newly credentialed Horizon NJ Health practitioners and staff shortly after joining our network.
• All participating Horizon NJ Health practitioners and staff on an annual basis.
• Visit our Educational Webinars to register for the upcoming Horizon NJ TotalCare (HMO D-SNP) Model of Care Training session of your choice.

*NEW* Self-paced Online Training Presentation

You can now satisfy your annual HMO D-SNP Model of Care training requirement by reviewing our new HMO D-SNP Model of Care eLearning session.

Attestation Form

Following completion of this required annual training (via either a hosted webinar session or our new, self-paced training), please complete and submit a copy of our Attestation Form to document that you have satisfied your training requirement for the calendar year.