New Jersey Medicaid ABA Program
UnitedHealthcare Community Plan is one of the selected managed care plans providing coverage to New Jersey FamilyCare members. Optum has been selected by UnitedHealthcare Community Plan to develop and manage the ABA network for New Jersey FamilyCare members, effective 4/1/2020. Your participation in our network helps to ensure access to comprehensive quality care for covered behavioral health services for enrolled members.
To assist you in your participation in this program, learn more about the process for applying to the network, and the clinical protocols required in this unique network, please review the resource materials below
- New Jersey FamilyCare Medicaid ABA Orientation
- NJ ABA QRG (updated version 4.26.21)
- ABA Treatment Request Form - electronic submission
- DMAHS Guide to Autism Services
Developmental Services
Effective July 1, 2020 the Division of Medical Assistance and Health Services (DMAHS) launched coverage for the provision of Developmental Services to support families with children diagnosed with Autism Spectrum Disorder (ASD). For the purposes of eligibility, these services are available to any NJ FamilyCare/Medicaid (NJFC/M) eligible child, under the age of twenty-one, who has been diagnosed with ASD, as defined by ICD-10 diagnosis codes F84.0 through F84.9, by a qualified healthcare provider.
- New Jersey FamilyCare Medicaid DIR Orientation (updated version 4.26.21)
- NJ DRBI QRG (updated version 4.26.21)
Contact Us/Request to Join the Network
Shailja Patel
Specialty Network Manager
shailja.patel@optum.com
