Becoming a Medicaid/NJ FamilyCare Provider

March 03, 2021

This article is a part of our
Health Insurance and Autism Series.

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Information for Providers

As of April 1, 2020, NJ FamilyCare covers ABA services for children birth to 21 years, a much anticipated benefit for children on Medicaid. Read Medicaid’s announcement for additional details. This article provides information about how providers can enroll to offer this important benefit.

Are you a family?  Learn more about accessing this benefit>>

Waiting too long for ABA for your child to begin? Learn more about prompt access to treatment>>

Medicaid Process

Provider agencies that are not currently approved Medicaid/NJ Family Care providers must do the following:

STEP 1: Obtain a Medicaid Provider Number

STEP 2: Contact the MCOs to complete their contracting process

Both steps can be done simultaneously, but please be aware that the contracting process with the MCOs may need to pause until the Medicaid Provider ID number is obtained.

Obtaining a Medicaid Provider Number

Complete the ASD Treatment Provider Application for all provider types and the Addendum. Email, fax, or mail the application, addendum, and required credentials to:

Fax: 609.584.1192
Mail: Gainwell Provider Enrollment, P.O. Box 4804, Trenton, NJ 08650

Inquiries related to completion of the application and addendum may be directed to Gainwell Provider Enrollment at 609.588.6036.

For any questions or concerns about this benefit, providers should call 609.599.8522 or email

Contact the MCOs to complete their contracting process

Each MCO has its own requirements. Please inquire directly at the numbers listed below:

MCO Contact Information 
Clinical Issues:
Maressa Nordstrom
Behavioral Health Administrator
Billing Issues:
Liarra Sanchez
Behavioral Health Network Relations
Consultant, Provider Experience
Join Our Network
Ann Basil
For Authorization:

Library of Amerigroup Forms
Fax: 844.442.8007

For Claim Status and Explanation of Payment Remittances, access the secure provider portal or call 800.454.3730.
Denise Mizell

Lauren Woods

Network Relations
For Utilization Management: (escalations only) 
Erin McNeill
For Authorization:
Behavioral Health Administrator:
Sonya Lee
For Billing Concerns:
Nadine Assouman, Provider Resolution Analyst
Contracting and Billing:
Catherine Wadsworth
Specialty Network Manager 
Contracting Provider Relations: 
Jennifer Huang
Phone: 813.206.2251

Stacy Felder
Phone: 862.229.4292
Utilization Management:   
Becky Barkhurst
O: 813.206.7704
Care Management: 
Kim Brown-Jones  
O: 973.274.2141 | C: 862.229.4132 

Noralisa Santiago  
O: 973.274.2166 | C: 862.240.2495 

Currently serving children through DCF/CSOC/PerformCare?

For providers already contracted with an MCO, the provider needs only to seek an authorization to provide and bill for ABA services. For those who are not contracted with an MCO, the provider must contact their client’s MCO to inquire about becoming credentialed or request a single case provider agreement for their client.

We’re Here for You

Autism New Jersey continues to work closely with Medicaid and CSOC/PerformCare on this benefit. If you have questions, concerns, or feedback, please contact

To receive updates and additional information, join our email list:

Originally posted 4/21/2020

General Information
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Special Cases
Resolving Issues
Introduction to Insurance Split Application MedicaidMedicaid and How To Enroll
Self-Funded Plans Child-Only PlansMedicaid: Starting Treatment
Fully Insured PlansIn-Network ExceptionsEPSDT Medicaid Benefit
Medicaid and How To EnrollPrompt Pay LawTreatment When You Need It
Child-Only PlansTreatment When You Need ItMedicaid for Adults
Medicaid and ABA: Knowing Your Rights
For Professionals
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