BH Integration Provider Satisfaction Survey
This anonymous survey gives providers an opportunity to share feedback of their experience over the last 6 months with MCOs and DMAHS, allowing MCOs to improve provider experience and DMAHS to improve program design. The survey will remain open for responses from July 23, 2025, to December 31, 2025.

06/26 DMAHS and MCO In-Person Office Hours for Providers
The BH Integration Phase 1 transition period flexibilities have been extended and are set to end no earlier than October 31, 2025. This Office Hours presentation includes information on the updated transition period policies as of July 1, 2025.

Behavioral Health Integration Provider Guidance Packet (04/25/2025)
This document offers detailed program guidance for current and prospective providers with NJ FamilyCare who provide or are seeking to
provide behavioral health services

DMAHS BH Provider Phase 1 Implementation FAQs
This document answers most frequently asked questions from provider trainings, office hours, and other communications regarding enrollment
& credentialing, prior authorization, and claims & billing 

04/23 DMAHS and MCO Virtual Office Hours for Providers
This is the presentation from the 04/23 DMAHS and MCO Virtual OH for providers, which includes answers to frequently asked questions and detailed BH Integration and MCO-specific guidance

MCO Contact Information 
For member specific inquiries and MCO-related questions, please contact the member's MCO.  Providers can find the MCO points of contact in the DMAHS BH Integration Points of Contact

MCO Provider Manuals 
Each MCO has provider manuals that serves as a resource for providers and outlines policies and operations for each of the health plans:
Aetna | Fidelis Care | Horizon | UnitedHealthcare | Wellpoint

DMAHS Contact Information 
If providers cannot reach a resolution after visiting the website or outreaching the MCOs, they should contact either the DMAHS Office of Managed Health Care (OMHC) or the Behavioral Health Unit based on their specific needs or inquiry.

If your issue is related to contracting & credentialing, claims & reimbursement, or prior authorizations, please reach out to OMHC at mahs.provider-inquiries@dhs.nj.gov. If your issue is related to policies & guidelines, access to services, or general questions, please reach out to the BH Unit at dmahs.behavioralhealth@dhs.nj.gov. When you reach out to request further assistance, please include all relevant and specific details regarding your issue.

DMAHS BH Integration: Provider Enrollment and Credentialing Training
(September 2024)
Provider Enrollment & Credentialing Training Presentation
Annotated Enrollment Templates:
21st Century Application
FFS Psychologist Group
Enrollment and Credentialing Webinar Recording
Provider Enrollment and Credentialing FAQs (10/28/2024)

Additional enrollment contact information
For questions related to NJMMIS, provider should reach out to Gainwell:
Address: Gainwell Technologies Provider Enrollment, P.O. Box 4804, Trenton,
NJ 08650
Email: njmmisproviderenrollment@gainwelltechnologies.com
Fax: 1-609-584-1192
Phone: 1-609-588-6036

DMAHS BH Integration: Provider Prior Authorization Refresher Training
(March 2025)
Provider Prior Authorization Refresher Training Presentation
Provider Prior Authorization Refresher Training Recording
Provider Prior Authorization Refresher Training FAQs

DMAHS BH Integration: Provider Prior Authorization Training
(November 2024)
Provider Prior Authorization Refresher Training Presentation(11/26/2024)
Provider Prior Authorization Refresher Training Recording
Provider Prior Authorization Refresher Training FAQs(11/26/2024)

DMAHS BH Integration: NJSAMS Training (November 2024)
Provider NJSAMS Presentation(12/03/2024)
NJSAMS Training Recording(11/27/2024)
NJSAMS Tutorial Video

SUD prior authorization and NJSAMS contact information

IME
Providers should contact the IME for process related issues (e.g., unsure how to complete an NJSAMS admission file):
Email: imeum@ubhc.rutgers.edu
Phone: 1-844-276-2444

MCO Contact Information
Providers should contact a member’s MCO for issues related to MCO communication regarding SUD prior authorizations. Providers can find the MCO points of contact in the DMAHS BH Integration of Contact document.

NJSAMS ticket
Providers should submit an NJSAMS ticket when experiencing technical issues.  To access the NJSAMS ticket system, log in to NJSAMS, navigate to the Help Menu, and select option for Ticket Management.

DMAHS BH Integration: Provider Claims Refresher Training
(February 2025)
Provider Claims Refresher Training Presentation
Provider Claims Refresher Training Recording
Provider Claims Refresher Training FAQs

DMAHS BH Integration: Provider Claims Training (October 2024)
Provider Claims Training Presentation
Provider Claims Training Webinar Recording
Provider Claims Training FAQs

MCO MH Partial Care Transportation
This document offers detailed guidance on how providers should bill for
MH partial care transportation with each MCO

DMAHS BH Integration: Provider MCO Care Management Training
(January 2025)
Provider MCO Care Management Training Presentation
Provider MCO Care Management Training Recording
Provider MCO Care Management Training FAQs(02/06/2025)

Care management referral contact information
To refer members to MCO-led integrated care management, providers should reach out to a member’s MCO:

Aetna: Refer members via
email at aetnabetterhealthNJCMReferral@aetna.com or
phone at 1-855-232-3596

Fidelis Care: Refer members via
email at david.houston@fideliscarenj.com or phone at 1-973-856-1151

Horizon: Refer members via phone at 1-800-862-9094 or visit the website
to complete the Care/Case Management Referral Form
https://www.horizonnjhealth.com/for-providers/programs/caremanagement

UnitedHealthcare: Refer members via
email at necsbhcca@uhc.com or
phone at 1-877-704-8871

Wellpoint: Refer members via
email at NJBehavioralHealth@Wellpoint.com