Another group or vendor provides the info on the next page. If you don’t want to leave our site, choose the “X” in the upper right corner to close this message. Or choose “Go on” to move forward.
2024
October 24, 2024: Medicaid Lab NCDs and Precertification Optimization (PDF)
October 22, 2024: Pharmacy Update - Contraceptive Counseling Services (PDF)
October 17, 2024: New Policy Updates: Clinical Payment, Coding and Policy Changes (PDF)
October 11, 2024: Aetna and Quest Analytics Partnership (PDF)
September 30, 2024: New Policy Updates: Clinical Payment, Coding and Policy Changes (PDF)
September 9. 2024: EFT/ERA registration vendor services (PDF)
August 22, 2024: New Policy Updates: Clinical Payment, Coding and Policy Changes (PDF)
July 25, 2024: Reimbursement to Ambulatory Surgical Centers (ASC) For Dental Services (PDF)
July 12, 2024: CLIA Certificate Editing (PDF)
June 19, 2024: Home- and Community-Based Services Loan Redemption Program Webinar (PDF)
June 17, 2024: Genetic codes (PDF)
May 23, 2024: Non-Medically Indicated Early Elective Deliveries Revised Diagnosis Codes (PDF)
April 18, 2024: Medicaid Precertification Optimization (PDF)
April 8, 2024: New Policy Updates: UM Transformation PA Yes (PDF)
April 3, 2024: April 1, 2024: New Policy Updates: NJ RSV Medicaid Provider Notification (PDF)
March 29, 2024: New Policy Updates: Clinical Payment, Coding and Policy Changes (PDF)
March 5, 2024: Non-Medically Indicated Early Elective Deliveries Revised Diagnosis Codes (PDF)
2023
December 28, 2023: New Policy Update: Clinical Payment, Coding and Policy Changes (PDF)
December 18, 2023: New review process for DRG claims (PDF)
December 1, 2023: UM Transformation Code Additions (PDF)
December 1, 2023: UM Transformation Code Removal (PDF)
October 29, 2023: PPP Community Workgroup (PDF)
October 18, 2023: NJ Medicaid Family Care: Injectable Medication (PDF)
October 13, 2023: Generic Code Testing (PDF)
October 13, 2023: New Policy Update: Clinical Payment, Coding and Policy Changes (PDF)
October 11, 2023: New Jersey & New Jersey LTC Medicaid Notice (PDF)
October 9, 2023: New Policy Updates: Clinical Payment, Coding and Policy Changes (PDF)
October 3, 2023: Peer to Peer Availability Timeline
October 2, 2023: Outpatient Services Prior to Admission (PDF)
September 25, 2023: Urgent determinations (PDF)
September 1, 2023: New Jersey Taxonomy WARN to REJECT (PDF)
August 16, 2023: Centering Youth Mental Health (PDF)
August 15, 2023: DMAHS Provider Training (PDF)
July 17, 2023: Codes Requiring Prior Authorization (PDF)
July 17, 2023: Codes No Longer Requiring Prior Authorization (PDF)
June 27, 2023: Policy Update Inpatient Psychiatric Services (PDF)
June 14, 2023: Non-Covered Procedure Codes (PDF)
June 14, 2023: Prior Authorization Code Removal (PDF)
June 5, 2023: New Policy Update - Bundled Services (PDF)
June 5, 2023: New Policy Update - Antepartum Fetal Surveillance (PDF)
June 5, 2023: New Policy Update - Anesthesia for Paint Management (PDF)
May 23, 2023: Medicaid Precertification Optimization (PDF)
March 24, 2023: HRSA Nursing-related funding opportunities (PDF)
March 24, 2023: New Policy Update - Clinical Payment, Coding and Policy Changes (PDF)
March 10, 2023: EFT/ERA Registration Services (EERS)
January 5, 2023: Eviti Recommended Formulary Redirection (PDF)
January 1, 2023: New Policy Updates - Clinical Payment, Coding and Policy Changes (PDF)
2022
December 8, 2022: New Policy Updates - Clinical Payment, Coding, and Policy Changes (PDF)
October 3, 2022: New P.O. Box Address and Vendor for Paper Claims and Claim Correspondences (PDF)
August 25, 2022: Coding Validation
July 28, 2022: Medicaid Precertification Optimization Code Removal (PDF)
July 8, 2022: Medicaid Precertification Optimization (PDF)
June 29, 2022: DRG validation and Data Mining Reviews (PDF)
June 20, 2022: Policy Updates-Clinical Payment, Coding and Policy Changes
April 19, 2022: Important Medicare Participation Resources for Behavioral Health Providers
2021
December 20, 2021: PCA Rate Increase Effective 1/1/2022
December 17, 2021: Enhancing Editing Process from SNIP Level 2 to SNIP Level 4
November 23, 2021: Non-participating Provider Reimbursement Policy
November 12, 2021: New Prior Authorization Form Available Soon
September 30, 2021: Update for Peer to Peer Requests
February 15, 2021: Update on using your linked Aetna contract in HHAeXchange
January 6, 2021: Important COVID vaccine update for home care and medical day providers
January 5, 2021: NJ Electronic Visit Verification fact sheet
January 5, 2021: New state mandates effective January 1, 2021
December 14, 2020: Update for PCA Providers on Electronic Visit Verification
December 8. 2020: An Important Reminder About the Use of NPI and Taxonomy Codes
October 28, 2020: DHS Coronavirus Relief Fund - Reimbursement Requests are Due by Nov 13, 2020
October 19, 2020: Notice to Home Health, Personal Care Assisant and Nursing Facility Providers
September 24, 2020: Eviti Connect
September 18, 2020: Prenatal Risk Assessment (PRA)
September 10, 2020: Notice to Personal Care Assistance Providers
August 19, 2020: 21st Century Cures Act Re-issue
August 6, 2020: Notice to Personal Care Assistance Providers
April 1, 2020: We've updated our NJ Medicaid Regulatory Compliance Addendum
July 1, 2019: New Policy Updates - Clinical Payment, Coding and Policy Changes
2020
December 14, 2020 : Update for PCA providers on electronic visit verification
December 8, 2020: An important reminder about the use of NPA and taxonomy codes
November 25, 2020: New covered benefit for your patients: at-home lead testing
October 19, 2020: Notice to home health, personal care assistant and nursing facility providers
September 24, 2020: Eviti Connect
September 18, 2020: Prenatal Risk Assessment (PRA)
September 10, 2020: Notice to personal care assistance providers
August 19, 2020: 21st Century Cures Act re-issue
August 6, 2020: Notice to personal care assistance providers