Healthfirst NJ
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Quick Reference Guides

2012 Provider Quick Reference Guide
2011 HEDIS/QARR Quick Reference Guide


NJ Medicare Provider Manual

Front Cover and TOC Sections 1 through 3 - Introduction, Programs and Benefits & Provider Networks Sections 4 and 5 - Eligibility & Membership and Regulatory & Reporting Requirements Sections 6 through 9 - Primary Care, OB/GYN, Specialty Care and Behavioral Health
Sections 10 through 12 - Ancillary, Emergency/Urgent Care & Medical Management Sections 13 through 15 - Care Management, QI and Appeals & Grievances Section 16 - Provider Compensation Glossary and Appendices


NJ FamilyCare/Medicaid Provider Manual

NJ FamilyCare/Medicaid Manual - Chapters 1 through 17 Table of Contents and Appendix I through V Appendix VI: Directives Appendix VII through VIII
Appendix IX through XVIII Appendix XIX through XX Appendix XXI through XXVII  

 

Provider Services
PO Box 12108  
Newark, NJ 07101-3408
Tel:  (866) 889-2523
Fax: (866) 697-2378

Neither Healthfirst, Inc. and its subsidiaries in New York or Healthfirst Health Plan of New Jersey, Inc. in New Jersey have any association with Greenville Hospital System, Healthfirst, Inc. of South Carolina, or any other organization operating elsewhere in the country under the name Healthfirst.

 

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