Title | Category | Description | Date | Size |
Newsletter Vol 33, No.16 | Multiple Provider Types | Compliance 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 members | 9/15/2023 | 215 Kb |
Medicaid Alert MA2023-06 | Multiple Provider Types | Reimbursement to Ambulatory Surgical Centers (ASC) For Dental Services | 9/15/2023 | 213 Kb |
Newsletter Vol. 33, No.15 | All Provider Types | Guidance for restarting Medicaid/NJ FamilyCare eligibility reviews | 8/28/2023 | 239 Kb |
Newsletter Vol. 33, No.14 | Multiple Provider Types | Summary 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 Act | 8/18/2023 | 709 Kb |
Medicaid Alert MA2023-05 | All Provider Types | Behavioral Health Rate Increase | 8/15/2023 | 672 Kb |
Newsletter Vol. 33, No.13 | Multiple Provider Types | Changes in Requirements of Teledentistry as a Telehealth Service | 8/14/2023 | 316 Kb |
Newsletter Vol. 33, No.12 | Multiple Provider Types | Electronic 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
| 7/13/2023 | 609 Kb |
Newsletter Vol. 33, No.11 | All Provider Types | Updated Billing Policy for Home Health Care and Personal Care Services | 6/22/2023 | 89 Kb |
Newsletter Vol. 33, No.10 | All Provider Types | Notice Regarding Public Health Emergency Flexibility Termination | 5/3/2023 | 258 Kb |
Medicaid Alert MA2023-04 | Multiple Provider Types | Expiration of Pharmacy-related Billing Accommodations implemented in Response to the Federal Public Health Emergency (PHE) | 4/28/2023 | 216 Kb |
Medicaid Alert MA2023-03 | Multiple Provider Types | Billing and coding for claims related to the Non-Medically indicated Early Elective Delivery policy | 4/26/2023 | 310 Kb |
Medicaid Alert MA2023-02 | All Provider Types | Facility Code Values for Telehealth Reported on Professional and Dental Claims | 4/25/2023 | 127 Kb |
Newsletter Vol. 33, No.02 | All Provider Types | Excluded, Unlicensed or Uncertified Individuals or Entities | 4/24/2023 | 159 Kb |
Newsletter Vol. 33, No.09 | Multiple Provider Types | Termination of Certain COVID-19 Specimen Collection and Diagnostic Testing HCPCS Procedure Codes
| 4/14/2023 | 120 Kb |
Medicaid Alert MA2023-01 | Multiple Provider Types | Updated Billing Procedures Regarding Medicaid/NJ FamilyCare Fee-For-Service Coverage of At-Home SARS-CoV-2 Test Kits | 4/14/2023 | 133 Kb |
Newsletter Vol. 33, No.05 | All Provider Types | Fee-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) Individuals | 4/11/2023 | 325 Kb |
Newsletter Vol. 33, No.08 | Multiple Provider Types | Changes to OTP Billing Codes | 4/3/2023 | 149 Kb |
Newsletter Vol. 33, No.07 | Multiple Provider Types | Provision of the Developmental, Individual Difference, Relationship-Based Model (DIR) | 3/31/2023 | 284 Kb |