Physicians and other health care professionals

Horizon NJ Health is always looking for Primary Care Providers, Specialists, and Behavioral Health Practitioners to maintain the network that has made us the largest NJ FamilyCare managed care organization in New Jersey. Because of our vast network of participating health care professionals, we continue to provide the highest level of service and care for our members.

To be considered for participation in our network, we must assess your credentials and ensure that you meet all criteria for participation.

Learn more.

Group Agreements
If your professional group practice wishes to participate in the Horizon NJ Health Networks under a Group Agreement, please email a request to HNJHProvider_Recruitment@horizonblue.com.

If your professional group practice already participates in the Horizon NJ Health Networks under a Group Agreement and wishes to have new practitioners credentialed and added to your roster, please mail the following two items to

Horizon BCBSNJ Credentialing/Recredentialing Dept.
3 Penn Plaza East, PP-14C
Newark, NJ 07105-2200

1. The CAQH # for the practitioners to be added to your group practice

2. A letter from your group practice authorizing the inclusion of the practitioner(s) in question to your group practice roster

ANCILLARY PROVIDERS

We invite Ancillary providers, including behavioral health providers, to participate in our Horizon NJ Health network and Managed Long Term Services & Supports (MLTSS) program by requesting an application online.

Reminder: You need to register for the 21st Century Cures Act!

To remain in the Horizon NJ Health network providers are required to submit a completed 21st Century Cures Act application to DXC Technology.

Providers who choose to serve only Medicaid MCO beneficiaries are referred to as 21st Century Cures registered or ROPA (referring, ordering, prescribing or attending) providers in the NJ FamilyCare Fee-For-Service (FFS) program. You only have to complete this application once.

Providers under contract with multiple Managed Care Organizations (MCO) only need to submit one application.

How to register for 21st Century Cures Act
To download a 21st Century Cures Act application, go to njmmis.com, select Provider Enrollment Applications and then select 21st Century Cures Act Application as the Provider Type.

21st Century Cures Act registered providers:

• Are not eligible to receive NJ FamilyCare FFS payments
• Are not required to provide services to NJ FamilyCare FFS beneficiaries
• Will not be listed in the NJ FamilyCare FFS Provider Directory and will not be assigned a FFS Medicaid ID number

Enroll in NJ FamilyCare FFS
If you are eligible to serve FFS beneficiaries and would like to enroll, you must complete a full NJ FamilyCare FFS enrollment application. This application can be found at njmmis.com under Provider Enrollment Application. Please note there are some provider types that are not eligible to enroll in FFS Medicaid.

How to submit completed applications and credentials:

• Mail:
  DXC Technology Provider Enrollment Unit
  P.O. Box 4804
  Trenton, NJ 08650
  or

• Fax: 1-609-584-1192

If you have any additional questions regarding how or why you were identified as a provider who needs to enroll in the NJ FamilyCare Program, please contact the NJMMIS provider enrollment unit at 1-609-588-6036.

Compliance is mandatory. Failure to comply may result in termination from the Horizon NJ Health network.