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  • Home - Horizon NJ Health
    As a Horizon NJ Health member, you don’t need referrals for in-network specialists and have no or low copays for: Primary care office visits and preventive services; Dental diagnostic and preventive services; Hospital Services, inpatient and outpatient; Generic and brand name prescription drugs on the Approved Drug List (formulary)
  • Members - Horizon NJ Health
    Horizon NJ TotalCare (HMO D‑SNP) is a Fully Integrated Dual Eligible Special Needs Plan with a Medicare contract and a contract with the New Jersey Medicaid Program Enrollment in Horizon NJ TotalCare (HMO D-SNP) depends on contract renewal
  • Contact Us - Horizon NJ Health
    If you or someone you know is aware of health care fraud and abuse, you should immediately report it to Horizon NJ Health's Fraud Hotline at 1-855-FRAUD20 (1-855-372-8320)
  • Company Overview - Horizon NJ Health
    Horizon NJ Health is New Jersey's largest health care management company serving publicly insured individuals in the Medicaid and NJ FamilyCare programs Since its inception in 1993, Horizon NJ Health has grown to more than 854,000 members and provides services in all 21 New Jersey counties
  • Providers - Horizon NJ Health
    Horizon NJ TotalCare (HMO D‑SNP) is a Fully Integrated Dual Eligible Special Needs Plan with a Medicare contract and a contract with the New Jersey Medicaid Program Enrollment in Horizon NJ TotalCare (HMO D-SNP) depends on contract renewal
  • Company Information - Horizon NJ Health
    Horizon NJ Health is New Jersey's largest health care management company serving publicly insured individuals in the Medicaid and NJ FamilyCare programs Since its inception in 1993, Horizon NJ Health has grown to more than 854,000 members and provides services in all 21 New Jersey counties
  • Finding and Visiting a Doctor - Horizon NJ Health
    Horizon NJ TotalCare (HMO D‑SNP) is a Fully Integrated Dual Eligible Special Needs Plan with a Medicare contract and a contract with the New Jersey Medicaid Program Enrollment in Horizon NJ TotalCare (HMO D-SNP) depends on contract renewal
  • Codes Removed to Simplify Prior Authorization - Horizon NJ Health
    We are happy to announce that we are eliminating over 1,000 service codes requiring prior authorization for our Horizon NJ Health members beginning June 1, 2025 We determined these codes should not require prior authorization
  • Behavioral Health Benefit Changes, Beginning January 1, 2025
    Starting January 1, 2025, Horizon NJ Health will provide outpatient behavioral health benefits to NJ FamilyCare members Previously, the outpatient services were covered by Fee-For-Service Medicaid and Horizon NJ Health did not have direct contact with the provider
  • Behavioral Health Medicaid Integration - Horizon NJ Health
    traditional behavioral health outpatient services for all NJ FamilyCare members will also be managed by Horizon NJ Health Starting January 1st, 2025, for members enrolled in Horizon NJ Health, BH services in phase one must be billed through Horizon NJ Health not fee for service





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