Welcome New Jersey Providers
United Healthcare Community Plan, No Medicaid ID Claim Denials
The 21st Century Cures Act (Cures Act) 114 P.L. 255 requires all States to screen and enroll all Medicaid providers, both those in Medicaid fee-for-service (FFS) and managed care organizations (MCOs). Medicaid managed care network providers, regardless of specialty, are required to be screened by and enrolled with the State Medicaid Agency. Federal laws enforced by CMS, including the Affordable Care Act and the 21st Century Cures Act, require states to screen and enroll all providers. Providers who do not comply with this requirement risk being removed from the New Jersey Medicaid managed care network.
Beginning January 1,2023 claims will deny for providers not registered with Medicaid or who do not have a Medicaid ID. The Medicaid provider enrollment process is to ensure appropriate and consistent screening of providers and improve program integrity. You can register with Medicaid by enrolling as a fee for service provider or through the 21st Century Cures Act. More information can be found by visiting the NJMMIS website Welcome to New Jersey Medicaid 2 (njmmis.com)
NJ provider technology requirements FAQ
We're here to help
If you have questions or need help, please contact provider services at (888) 362-3368
Optum Network Manual
Clinical Criteria
Best Practice Guidelines
Coordination of Care (COC)
Additional information and forms are available, including psych/neuropsych testing guidelines, credentialing plans, and Disability Solutions Manual, on the Provider Express Guidelines/Policies & Manuals and Optum Forms pages.
New Jersey Medicaid Resources
Questions about UnitedHealthcare Community Plan of New Jersey/FamilyCare?
Get answers at provider live, virtual office hours.
Get answers and insights from the New Jersey team during live sessions. Click the session link that fits your schedule or topic of interest and follow the prompts. Attend as many as you'd like—and feel free to share with others!
Registration is required.
Topic: Utilization Management Guidance
- Nov. 4, 2025 noon – 1:00 p.m EST
- Nov. 10, 2025 noon – 1:00 p.m EST
- Nov. 18, 2025 noon – 1:00 p.m EST
Topic: Claims and Billing Guidance
Email njnetworkmanagement@optum.com with questions and please put “provider office hours” in the subject line.
New Jersey Medicaid Programs – Quick Reference Guide
New Jersey Medicaid Provider Manual Addendum
New Jersey Office-Based Addiction Treatment
New Jersey Partial Care Prior Authorization Training
New Jersey OTP Medicaid Training
New Jersey Medicaid Facility Provider HEDIS®. FUH Presentation
New Jersey Medicaid Out Patient Provider HEDIS®. Measures Presentation

Outpatient Care Engagement
Schedule an online HIPAA-compliant appointment with a member of our Outpatient Care Engagement team.