New Jersey health plan

Horizon NJ Health doula billing in New Jersey

Start with the health plan provider page, then confirm the state doula billing rules before claim entry or payer follow-up.

Open plan provider page Open state rules

NJ FamilyCare MCOs is a plan list source checked 2026-06-18.

Confirm the member's plan in a payer portal or approved billing system.

Keep member IDs, claim numbers, and dates of birth out of public pages.

Plan links to check

NJ says five MCOsManaged care / MCOManaged care means a Medicaid health plan handles some or all coverage and billing steps for a member. MCO stands for managed care organization. participate in NJ FamilyCare Medicaid.

Plan provider page

Open Horizon NJ Health provider resources for portal, contracting, and claim-routing details.

State billing rules

Check New Jersey rates, codes, setup, and source links before billing.

Provider setup

Confirm enrollment, identifiers, portal access, and who submits the first claim.

Official sources

NJ DMAHS Medicaid and Managed CareChecked 2026-06-18 NJ DMAHS Provider Newsletter Vol. 31 No. 4: Doula CareNew Jersey Division of Medical Assistance and Health Services · Revised billing codes, diagnosis Z32.2, standard/enhanced visit limits, recommendation requirement, and submission routes · checked 2026-06-17 NJ DMAHS Doula Care Provider OverviewNew Jersey Division of Medical Assistance and Health Services · NJ FamilyCare doula benefit, FFS directory and MCO directory references, provider resources · checked 2026-06-17 NJ DOH Community Doula Provider StepsNew Jersey Department of Health · FFS enrollment first, approved training, supplemental community competency, background check, liability insurance, MCO contracting after FFS · checked 2026-06-17

Your next no-PHI step

Choose a state to start

Select your state to see setup steps and official sources.

Check readiness free

Do not enter names, Medicaid IDs, birth dates, claim numbers, or visit notes.