Medicaid

How to Get Credentialed with NJ FamilyCare in New Jersey

Network: Open
30-60 Days

Quick Overview

Timeline

30 - 60 days

CAQH

Not Required

Re-credentialing

Every 5 year(s)

Delegated

No

New Jersey-Specific Requirements

New Jersey Medicaid (NJ FamilyCare) enrollment steps: (1) Obtain NPI via NPPES. (2) Register through the DMAHS (Division of Medical Assistance and Health Services) NJ MMIS provider enrollment portal. (3) Submit application with NJ state license, proof of malpractice insurance, and required documentation. (4) Background check including state and federal criminal history is required for all providers. NJ FamilyCare operates managed care through 4 MCOs covering most Medicaid beneficiaries. Behavioral health providers accepted include LPC, LCSW, and LMFT with active New Jersey licensure. Revalidation is required every 5 years.

Medicaid Information — New Jersey

Agency: New Jersey DHS, DMAHS

Program: NJ FamilyCare

Portal: https://www.njmmis.com

Phone: 1-609-588-2802

Step-by-Step Enrollment Process

1

Gather Required Documents

Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for New Jersey.

2

Prepare Your Application

Complete NJ FamilyCare's provider enrollment application with all required information and supporting documentation.

3

Submit Your Application

Submit your completed enrollment package to NJ FamilyCare.

4

Track & Follow Up

Credentialing typically takes 30-60 days. Monitor your application status and respond promptly to requests for additional information.

Required Documents Checklist

Background Check

Federal/state background check required for Medicaid enrollment

CV/Resume

Work history required

Malpractice Insurance

Conditional

Required in most states; some state programs waive for government employees

Medical License

NPI Certificate

Enrollment Forms

NJ FamilyCare Provider Enrollment

Required
Online Open →

Contact Information

Provider Enrollment

National

1-609-588-2802

General Provider Inquiries

National

1-609-588-2802

Quick Links

Provider Portal

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Other Payers in New Jersey

Aetna UnitedHealthcare Cigna Healthcare Anthem / Elevance Health Humana Centene Corporation Molina Healthcare Horizon Blue Cross Blue Shield of New Jersey UnitedHealthcare Community Plan Amerigroup (Anthem)
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