In accordance with the Health Care Quality Act, carriers and their vendors contracting with physicians must accept the NJ Universal Physician Application Form, if the physician chooses to use it. A carrier may employ other credentialing forms or encourage use of a national database, but carriers must inform physicians about the availability of the NJ Universal Physician Application Form, and may not require physicians to use an alternative credentialing mechanism in lieu of the NJ Universal Physician Application Form, or the NJ Recredentialing Application, as a condition of participation in the carrier's network.

Carriers should review the rules (N.J.A.C. 11:24C-1) for more details. See Statutes and Regulations

• NJ Universal Physician Credentialing Form
  • PDF - MS Word - Instructions (PDF)
    
    
• NJ Physician Recredentialing Application Form
  • PDF - MS Word - Instructions (PDF)