New Jersey Healthcare Consulting
New Jersey behavioral health & SUD consulting.
New Jersey-specific consulting for SUD and mental health providers — DMHAS licensure, NJ FamilyCare MCO contracting, Horizon BCBSNJ strategy, and commercial behavioral carve-outs.
Payers & networks
Where New Jersey contracting actually happens.
NJ FamilyCare MCOs
Contracting with Horizon NJ Health, UnitedHealthcare Community Plan, Aetna Better Health, WellCare, and Fidelis Care.
Horizon BCBSNJ
Horizon Blue Cross Blue Shield of New Jersey commercial, OMNIA, and Horizon Behavioral Health contracting.
Commercial Behavioral
Optum, Carelon, Aetna BH, Cigna/Evernorth, and Magellan for New Jersey commercial behavioral and SUD.
DMHAS Licensure
Division of Mental Health and Addiction Services facility licensure for detox, residential, PHP, IOP, OP, and OBOT.
VA CCN Region 1
VA Community Care Network Region 1 (Optum) for New Jersey veterans.
Tricare East
Tricare East (Humana Military) contracting for military families.
What we deliver in New Jersey
End-to-end New Jersey consulting.
Licensure, accreditation, payer contracting, and revenue cycle — sequenced for the realities of operating in New Jersey.
- DMHAS facility licensure
- NJ FamilyCare contracting
- Horizon BH contracting
- Commercial carve-out contracting
- CARF & Joint Commission
- Provider credentialing
- Telehealth contracting
- Revenue cycle management
- Compliance & UM prep
- ASAM level-of-care attestation
FAQ
New Jersey contracting, answered.
- How does DMHAS licensure work for SUD in New Jersey?
- DMHAS issues licenses per level of care (3.7-WM, 3.5, 3.1, 2.5, 2.1, 1) with detailed staffing, clinical, and physical plant standards. Each level is a separate application with separate inspections. We package the applications and prep for survey.
- Is Horizon Behavioral Health open for SUD providers?
- Horizon BH selectively opens panels by county and level of care. North Jersey is tighter than South Jersey. Accreditation and a clean compliance record are required for any application.
- Do all NJ FamilyCare MCOs cover SUD the same way?
- Coverage is consistent across MCOs but credentialing, prior auth, and concurrent review processes differ. We build payer-specific workflows for each MCO and coordinate with the DMHAS Interim Managing Entity where applicable.
- How long does New Jersey contracting take?
- DMHAS licensure 4–9 months per level of care; CARF or Joint Commission 6–9 months; MCO and commercial contracting 90–180 days after accreditation. Tracks run in parallel.
Operating in New Jersey
Cut through New Jersey's regulatory complexity.
DMHAS licensure, NJ FamilyCare contracting, Horizon BH, and commercial carve-outs — built for the densest behavioral market in the country.