Revalidation calendar
Every NJ FamilyCare, PECOS, and commercial revalidation deadline tracked and started early.
New Jersey Credentialing
NJ FamilyCare provider enrollment & payer credentialing in New Jersey.
Enrollment through NJMMIS (New Jersey Medicaid Management Information System), CAQH, Medicare PECOS, and New Jersey commercial payer applications, backed by a revalidation calendar so an enrollment lapse never interrupts your billing.
From application to active panel
- 01
NJMMIS enrollment
We submit your New Jersey Medicaid provider enrollment application through NJMMIS with all required documentation.
- 02
CAQH ProView profile
Your CAQH profile is built and maintained, since Horizon NJ Health, Aetna, and other MCOs pull from it.
- 03
Medicare PECOS
PECOS enrollment filed in parallel to keep Medicare billing active alongside NJ FamilyCare.
- 04
Five-MCO applications
Individual applications to Horizon NJ Health, Aetna Better Health of NJ, UnitedHealthcare Community Plan, Wellpoint, and Fidelis Care, tracked to completion.
- 05
Revalidation calendar
Every NJMMIS, PECOS, and MCO revalidation deadline logged and started early.
Plan-by-plan enrollment timelines
Typical ranges based on published payer guidance and our enrollment experience. Actual timelines vary by provider type, documentation completeness, and payer backlog.
| Payer | Typical enrollment timeline |
|---|---|
| NJ FamilyCare (via NJMMIS) | 60–100 days |
| Medicare (PECOS) | 60–90 days |
| Horizon BCBS of New Jersey | 90–120 days |
| NJ FamilyCare MCOs (each plan) | 45–90 days per plan |
Start 120 days out
New Jersey enrollment and each payer's credentialing timeline can add up to well past 90 days before a provider bills a full panel. Every week of delay is a week of NJ FamilyCareand commercial claims that can't be filed — starting the process 120 days before a provider's start date is what keeps that revenue from being lost outright rather than merely delayed.
CAQH maintenance
Ongoing attestation and document uploads so your CAQH profile never goes stale.
New provider onboarding
Applications started before a new hire's start date so they can bill from day one.
Panel status monitoring
We confirm active status with each plan rather than assuming an application went through.