New Jersey Medical Assistance and Health Services (DMAHS) New Jersey Family Care (Medicaid) Entity Topic areas to assist Members and Providers NJ FamilyCare Medicaid member and provider eligibility claims and quality inquiries 1-800-356-1561 Member/Provider Hotline County Welfare Agencies Financial Eligibility Cost Share (CWA) Division of Medical Assistance and Health Services Home Page Medicaid Provider Communications (MedCom) Office of Community Choice Member clinical eligibility not MCO Enrolled Regional office contacts Options (OCCO) NJ FamilyCare MCO Member Provider Inquiries regarding benefits- PA for MCO enrolled members Member Relations The Form to submit billing inquiries is located by clicking on highlighted link. Provider Relations NJ FamilyCare Office of Managed Billing and/or eligibility questions for review by DMAHS. If MCO claims contact Health Care, Managed Provider with MCO shall be summarized prior to forwarding to DMAHS Relations NJ State Health Insurance Resource for members and families regarding plan selection Assistance Program 1-800-792-8820 (SHIP) NJ FamilyCare Health Benefits Member contact for MCO selection Coordinator (HBC) 1-800-701-0710 Medicaid Newsletters and Alerts
New Jersey Medical Assistance and Health Services (DMAHS) New Jersey Family Care (Medicaid) Entity Topic areas to assist Members and Providers NJ FamilyCare Member/Provider Hotline Medicaid member and provider eligibility claims and quality inquiries 1-800-356-1561 County Welfare Agencies (CWA) Financial Eligibility Cost Share Medicaid Provider Communications (MedCom) Division of Medical Assistance and Health Services Home Page Office of Community Choice Options (OCCO) Member clinical eligibility not MCO Enrolled Regional office contacts NJ FamilyCare MCO Member Relations Provider Relations Member Provider Inquiries regarding benefits- PA for MCO enrolled members The Form to submit billing inquiries is located by clicking on highlighted link. NJ FamilyCare Office of Managed Health Care, Managed Provider Relations Billing and/or eligibility questions for review by DMAHS. If MCO claims contact with MCO shall be summarized prior to forwarding to DMAHS NJ State Health Insurance Assistance Program (SHIP) Resource for members and families regarding plan selection 1-800-792-8820 NJ FamilyCare Health Benefits Coordinator (HBC) Member contact for MCO selection 1-800-701-0710 Medicaid Newsletters and Alerts
Provider%20Resources%20NJ%20FamilyCare%20-Internal%20Provider%20Document%20110818.docx