Mental health care for FidelisCare New Jersey members
Yes — Positive Reset Eatontown is in-network with FidelisCare New Jersey, a NJ FamilyCare Medicaid MCO. Members typically pay $0.
Most new patients are seen within 7-14 days. Call (732) 724-1234 with your member ID, or use the lookup card.
What FidelisCare New Jersey covers at our clinic
Typical out-of-pocket: $0. Some services require prior authorization — see below.
- Therapy (individual + couples + family)
- Psychiatric evaluation
- Medication management
- TMS (Transcranial Magnetic Stimulation)
- Telehealth (statewide NJ)
- Group therapy
About FidelisCare New Jersey
FidelisCare NJ — what to know
FidelisCare entered the New Jersey Medicaid market in 2022 and has grown rapidly. As one of the newer MCOs in NJ FamilyCare, FidelisCare focuses on behavioral-health access and care-coordination services for members across Monmouth and Middlesex counties. We verify your specific plan benefits and any prior-authorization requirements before your first visit.
For FidelisCare member services in New Jersey, call 1-888-353-0571.
What makes FidelisCare different in New Jersey
FidelisCare is the New Jersey extension of Centene's national Medicaid footprint. Members switching from another NJ FamilyCare MCO during open enrollment will recognize the playbook: behavioral-health benefits managed through Centene's national behavioral-health partner, an emphasis on care-coordination touch-points, and a relatively small but growing in-network provider list in coastal Monmouth County.
Positive Reset Eatontown is part of that in-network list. Most therapy and psychiatry visits are billed without prior authorization, with prior-auth applied only for higher-intensity services like TMS or for prescriptions beyond standard quantities. If you're new to FidelisCare and unsure whether your prior therapist or psychiatrist is in-network with the new MCO, ask us — we can sometimes confirm in-network status for other local clinicians alongside our own intake call. Open-enrollment switches don't have to mean a treatment gap.
What we treat for FidelisCare NJ members
FidelisCare's NJ membership skews toward newer enrollees and patients who've recently switched MCOs. The conditions we see most often: anxiety (often longstanding and finally being addressed), depression, postpartum depression for new parents, and OCD for adults whose symptoms have built over years without treatment. Therapy plus medication management is the most common combination. For symptoms that haven't responded to two or more medications, TMS is covered with prior auth.
Authoritative coverage detail: FidelisCare New Jersey member benefits (opens in new tab).
Step-by-step: verify your NJ FamilyCare benefits
A 6-step guide for the member-services call — copays, prior auth, telehealth, TMS — for all 5 NJ FamilyCare MCOs.
Do you accept NJ FamilyCare (Medicaid)?
Yes. We accept all five NJ FamilyCare managed care organizations: Horizon NJ Health, Aetna Better Health of New Jersey, UnitedHealthcare Community Plan of New Jersey, Wellpoint, and FidelisCare. NJ FamilyCare members pay $0 out-of-pocket for therapy, psychiatry, and medication management at our clinic. You'll need your member ID card for your first visit; we verify your eligibility before you arrive.Which Medicaid MCOs are accepted at Positive Reset Eatontown?
All five MCOs that participate in NJ FamilyCare: Horizon NJ Health, Aetna Better Health of New Jersey, UnitedHealthcare Community Plan of New Jersey, Wellpoint (formerly Amerigroup), and FidelisCare New Jersey. If you're not sure which MCO you're enrolled with, the name is printed on the back of your NJ FamilyCare card, or you can call NJ FamilyCare member services at 1-800-701-0710.What does NJ FamilyCare cover for mental health?
NJ FamilyCare covers individual therapy, family therapy, group therapy, psychiatric evaluations, medication management, partial hospitalization, and crisis services. Coverage of telehealth, inpatient care, and substance use treatment varies by MCO and plan tier. Specific session limits and prior-authorization requirements differ by MCO — see the [NJ FamilyCare benefits handbook](https://www.njfamilycare.org) or ask us at intake.Is there a copay for therapy if I have Medicaid?
No. NJ FamilyCare members pay $0 out-of-pocket for therapy and psychiatry visits at Positive Reset Eatontown. There's no copay, no coinsurance, and no deductible for in-network mental health care.What is the No Surprises Act and how does it apply?
The No Surprises Act (CMS) protects you from getting an unexpected bill for in-network care. At Positive Reset Eatontown, we verify your insurance benefits before your first visit and tell you exactly what you'll pay — no surprise bills. If you're a self-pay patient, you'll receive a Good Faith Estimate before treatment begins. See our [No Surprise Billing](/insurance/no-surprise-billing/) page for the full policy.How do I verify my insurance before booking?
Call us at (732) 724-1234. Have your insurance card ready — we'll need the member ID, group number (if any), and the plan name on the front of the card. We verify benefits in 5–10 minutes for most plans, or within 24 hours for plans that require a callback to the insurer.Do you accept FidelisCare New Jersey?
Yes. We're in-network with FidelisCare NJ, which entered the New Jersey Medicaid market in 2022 as the state extension of Centene's national Medicaid footprint. NJ FamilyCare members pay $0 for outpatient mental health. If you're switching from another NJ FamilyCare MCO during open enrollment, ask us about in-progress treatment plan continuity — most can be filed proactively so there's no treatment gap. If your prior therapist or psychiatrist isn't in our practice, we can sometimes confirm in-network status for other local clinicians alongside our own intake call. ---
Last data update: 2026-05-26. Plan details change frequently — call us if a benefit specific on this page disagrees with your current plan handbook.
Verify your FidelisCare New Jersey coverage in 60 seconds.
Have your member ID handy. We confirm in-network status, copay, and any prior-auth before your first visit.