When applying for participation in the network, New Jersey physicians will be sent the New Jersey Uniform Credentialing Form, but they may request the standard Cigna Behavioral Health application, if they choose. If the New Jersey Uniform Credentialing form does not contain all of the information necessary for Cigna Behavioral Health to credential the physician, Cigna Behavioral Health may request additional information from the physician.

At recredentialing, New Jersey physicians will be sent a pre-populated application that contains all of the information contained in the original application or the previous recredentialing application. They will be asked to correct any incorrect information, to add any new information, and to attest that the information is correct prior to returning the application.

Within 90 days of receipt of a completed application and all necessary supporting documents, Cigna Behavioral Health shall assess and verify the applicant’s qualifications and notify the applicant of its decision. In the event that the application is not complete, needed documents are missing, or verification information is unavailable, the applicant will be informed in writing of the delay not later than 60 days following the receipt of the application, the reason for the delay, and the name and phone number of a staff participant to contact if the applicant has questions.

In the event that missing information or documents have not been received within 90 days of initial receipt of the application, the applicant’s file will be closed or pended, and the applicant informed of this fact in writing. Included in this correspondence will be the length of time the application will be pended, if applicable, and the name and phone number of a staff person to contact with questions.