THE NEW JERSEY MEDICAID PROGRAM HAS ASKED THAT WE SEND THIS REMINDER TO YOU FOR IMMEDIATE ACTION
Effective January 1, 2018, the 21st Century Cures Act 114 P.L. 255, all Medicaid managed care network providers must enroll with the state Medicaid program or risk being removed from the provider network. Please note that this is a federal and state requirement and we were asked to send this notice to remind you of what you need to do immediately. Enrollment as a NJ FamilyCare provider does not require you to service NJ FamilyCare Fee-forService beneficiaries. To safeguard your status in the provider network you must enroll in the state Medicaid program. The 21st Century Cures Act Enrollment Application should be submitted to Molina Medicaid Solutions by December 31, 2017. Providers should continue to provide services to NJ FamilyCare members as the enrollment application is processed by Molina. The link for the 21st Century Cures Act application for enrollment can be accessed at: www.njmmis.com. The application can be downloaded and forwarded to the NJ Medicaid Provider Enrollment office for processing. Should you have questions during the NJ FamilyCare Program enrollment process please contact the NJMMIS provider enrollment unit at 609-588-6036. The mailing address to submit the application and credentials is:
Molina Medicaid Solutions
Provider Enrollment
P.O. Box 4804
Trenton, NJ 08650
The completed application with credentials can also be faxed to: 609-584-1192. If you receive this letter from multiple managed care plans, you only need to submit a single NJ Medicaid enrollment application. You may be asked to provide evidence of your submission, so you are encouraged to keep a copy of your application. If you have any additional questions regarding how or why you were identified as a provider who needs to enroll in the NJ FamilyCare Program, please contact the NJMMIS provider enrollment unit at 609-588-6036. Thank you for your prompt attention and cooperation.
