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Changes to the Management of the Horizon Behavioral Health℠ Program

Beginning on or about January 1, 2020, Horizon BCBSNJ will transition the administration and clinical management of behavioral health services from Beacon Health Options (formerly ValueOptions) to our internal operations for all Horizon BCBSNJ plans that offer behavioral health benefits through the Horizon Behavioral Health℠ program.

The complete transition to Horizon BCBSNJ’s internal management will occur in a phased approach based on line of business. The effective dates are targeted for on or about:

  • January 1, 2020: Horizon Medicare Advantage, Horizon NJ Health and Horizon NJ TotalCare (HMO SNP) plans
  • April 1, 2020: Horizon BCBSNJ fully insured plans/products, self-insured (Administrative Services Only [ASO]) employer group plans including the State Health Benefits Program (SHBP) and the School Employees’ Health Benefits Program (SEHBP) and the Federal Employee Program® (FEP®)

Provider Agreements 
This change will not impact the terms and conditions in your existing participation Agreement(s) for our Horizon Managed Care Network, Horizon PPO Network, Horizon NJ TotalCare (HMO SNP) Network or Horizon NJ Health Network.

Claims and Service
There will be no change to the claim submission process or to the systems currently in use by the Horizon Behavioral Health program. Providers can continue to follow the processes currently in place for claim submissions and service inquiries.

Recredentialing
Effective July 1, 2019, Horizon BCBSNJ will begin to manage the recredentialing of behavioral health practitioners and facilities for all providers who are due to be recredentialed on and after January 1, 2020.

Beacon Health Options will continue to manage the recredentialing process for practitioners and facilities due to be recredentialed prior to December 31, 2019.

Member Access
This change in management of the Horizon Behavioral Health program will not impact members’ benefits or their access to behavioral health care. Members will continue to have access to all the services and support provided under the current Horizon Behavioral Health program. 

Horizon BCBSNJ remains committed to working with health care professionals throughout the state to enhance the patient experience and lower the total cost of care. The Horizon Behavioral Health program will help drive improvements in health care treatment and outcomes for Horizon BCBSNJ members facing mental health issues and substance use disorders.

For More Information and Updates

The Horizon Behavioral Health℠ program is administered by ValueOptions of New Jersey, Inc. ValueOptions of New Jersey, Inc., a subsidiary of Beacon Health Options, Inc., is a New Jersey Corporation licensed by the NJ Department of Banking & Insurance as an Organized Delivery System.

Published on: May 30, 2019, 23:56 PM ET
Last updated on: June 19, 2019, 03:31 AM ET