Official Site of The State of New Jersey
The Department of Human Services, Division of Medical Assistance and Health Services (DMAHS) applied to renew the New Jersey FamilyCare Comprehensive Demonstration in 2022. This renewal was approved in 2023. One important component of NJ's 1115 Demonstration includes the integration of behavioral health services with medical services under Medicaid managed care organizations (MCOs).
There are three main goals of NJ’s Behavioral Health Integration initiative: (1) increase member access to services with a focus on member-centered care, (2) integrate behavioral and physical health under a single point of accountability – the MCO – for whole-person care, with potential to improve healthcare outcomes, and (3) improve care coordination by providing appropriate services for members in the right setting, at the right time.
NJ FamilyCare is pursuing a phased approach to integrate BH services under managed care. Phase 1 of NJ BH Integration went live on January 1st, 2025. The State is currently planning two more phases to continue carving in BH services.”
SUD Lab Network Adequacy Public Comment Period
DMAHS sought public input on network adequacy standards for independent Substance Use Disorder (SUD) labs that are part of NJ FamilyCare Managed Care Organization (MCO) networks. The public comment period closed at 5pm on October 26, 2026. Thank you to everyone who submitted comments.
DMAHS is compiling a response to the public comments received and will post more information on this page shortly.
Current MCO lab network adequacy contract standards (Section 4.8.8 of the MCO contract) state MCO networks must have:
- A provider within 15 miles of 90% of members in each county
- At least two providers per servicing county
DMAHS wants stakeholders' input on whether these standards should be revisited.
The following materials from the public comment period remain available for reference:
Behavioral Health Integration Key Resources for Stakeholders
- DMAHS BH Integration Points of Contact (Rev 10/22/2026)
This document lists all the key behavioral health contacts across all 5 managed care organizations (MCOs) and the State. - Behavioral Health Integration Provider Guidance Packet (10/28/2026)
This document offers detailed program guidance for current and prospective providers with NJ FamilyCare who provide or are seeking to provider behavioral health services. - Behavioral Health Integration Overview and FAQ Pamphlet ( Rev. 10/29/2024)
This document provides an overview of BH Integration for Providers and answers some frequently asked questions. - DMAHS BH Integration Member One-Pager
This document provides an overview of BH Integration for members, family and caregivers. - DMAHS Behavioral Health Integration Member FAQ
This document answers frequently asked questiions from members, family and caregivers regarding BH Integration. - DMAHS Integración De La Salud Conductual Preguntas Frecuentes
Este documento responde a las preguntas frecuentes de los miembros, familia y cuidadores acerca de las integracion de la salud conductual. - Behavioral Health Integration Phase 1 Transition Period One-Pager
This document provides an overview of the BH Integration transition period for members, family and caregivers