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Newsletter Vol 33, No.16Multiple Provider TypesCompliance with the SUPPORT Act and requirements to utilize the New Jersey Prescription Monitoring Program (NJPMP) prior to prescribing and dispensing Controlled Dangerous Substances (CDS) for Medicaid/NJ Family Care members9/15/2023215 Kb
Medicaid Alert MA2023-06Multiple Provider TypesReimbursement to Ambulatory Surgical Centers (ASC) For Dental Services9/15/2023213 Kb
Newsletter Vol. 33, No.15All Provider TypesGuidance for restarting Medicaid/NJ FamilyCare eligibility reviews 8/28/2023239 Kb
Newsletter Vol. 33, No.14Multiple Provider TypesSummary of the NJ Electronic Visit Verification (EVV) Process and Frequently Asked Questions for Home Health Care Services subject to the EVV mandate of the 21st Century Cures Act8/18/2023709 Kb
Medicaid Alert MA2023-05All Provider TypesBehavioral Health Rate Increase8/15/2023672 Kb
Newsletter Vol. 33, No.13Multiple Provider TypesChanges in Requirements of Teledentistry as a Telehealth Service8/14/2023316 Kb
Newsletter Vol. 33, No.12Multiple Provider TypesElectronic Visit Verification (EVV) Claims Payment for all Medicaid/NJ FamilyCare Fee for Service (FFS) and Managed Care Organization (MCO) Providers Billing for Home Health Care Services subject to the EVV mandate of the 21st Century Cures Act 7/13/2023609 Kb
Newsletter Vol. 33, No.11All Provider TypesUpdated Billing Policy for Home Health Care and Personal Care Services6/22/202389 Kb
Newsletter Vol. 33, No.10All Provider TypesNotice Regarding Public Health Emergency Flexibility Termination 5/3/2023258 Kb
Medicaid Alert MA2023-04Multiple Provider TypesExpiration of Pharmacy-related Billing Accommodations implemented in Response to the Federal Public Health Emergency (PHE)4/28/2023216 Kb
Medicaid Alert MA2023-03Multiple Provider TypesBilling and coding for claims related to the Non-Medically indicated Early Elective Delivery policy4/26/2023310 Kb
Medicaid Alert MA2023-02All Provider TypesFacility Code Values for Telehealth Reported on Professional and Dental Claims4/25/2023127 Kb
Newsletter Vol. 33, No.02All Provider TypesExcluded, Unlicensed or Uncertified Individuals or Entities4/24/2023159 Kb
Newsletter Vol. 33, No.09Multiple Provider TypesTermination of Certain COVID-19 Specimen Collection and Diagnostic Testing HCPCS Procedure Codes 4/14/2023120 Kb
Medicaid Alert MA2023-01Multiple Provider TypesUpdated Billing Procedures Regarding Medicaid/NJ FamilyCare Fee-For-Service Coverage of At-Home SARS-CoV-2 Test Kits4/14/2023133 Kb
Newsletter Vol. 33, No.05All Provider TypesFee-For-Service (FFS) Payment of Medicare Part A/Part B Deductibles; Coinsurance and Copayments to Providers Enrolled in the Medicaid/ NJ FamilyCare Program for Qualified Medicare Beneficiary (QMB) Individuals4/11/2023325 Kb
Newsletter Vol. 33, No.08Multiple Provider TypesChanges to OTP Billing Codes4/3/2023149 Kb
Newsletter Vol. 33, No.07Multiple Provider TypesProvision of the Developmental, Individual Difference, Relationship-Based Model (DIR)3/31/2023284 Kb