All Insurance Policy Changes (Page 804)

Continuing from page 803. Showing older policy changes tracked across all payers. Use the filters in the related-hubs section below to narrow by provider, state, or specialty.

High impact
Newsletter Vol. 9, No. 35
New Jersey Medicaid·Effective Jul 1, 1999
New Jersey Medicaid, NJ KidCare, and PAAD programs are requiring all participating pharmacy providers to become approved Medicare medical supply providers and enroll in Medicaid/NJ KidCare FFS as medical suppliers. Effective July 1, 1999, pharmacies must submit Medicare approval documentation or face potential program participation denial. This affects billing for Medicare-covered drugs (chemotherapy, immunosuppressants, vaccines, diabetic materials, EPO, and bronchodilators) which will be processed as crossover claims with the State covering deductibles and coinsurance.
Medium impact
Newsletter Vol. 9, No. 36
New Jersey Medicaid·Effective Jan 1, 1999
New Jersey Medicaid and NJ KidCare have added new HCPCS procedure codes for prosthetic and orthotic services effective January 1, 1999, with maximum fee allowances. Additionally, two orthotic codes (L4310, L4320) are being deleted effective June 30, 1999. Billing teams must update their coding systems and fee schedules to reflect these additions and deletions.
High impact
Newsletter Vol. 9, No. 39
New Jersey Medicaid·Effective Jul 1, 1999
New Jersey Medicaid, General Assistance, and NJ KidCare Plan A Fee-For-Service programs are changing pharmacy days supply limits effective July 1, 1999. Initial prescriptions are limited to 34-day supply; refill prescriptions are limited to 34-day supply or 100 dosage units, whichever is greater. This replaces the previous uniform 34-day limit and aligns with PAAD program requirements.
Medium impact
Newsletter Vol. 9, No. 37
New Jersey Medicaid·Effective Jul 1, 1999
New Jersey Medicaid and NJ KidCare have changed their prior authorization process for partial care services. Prior authorization requests are now processed by Medicaid District Office staff instead of the previous process. All partial care independent clinic providers must complete a detailed facility questionnaire and submit supporting documentation by July 25, 1999.
Medium impact
Newsletter Vol. 9, No. 38
New Jersey Medicaid·Identified Jun 20, 2026
This policy provides supplemental updates to the list of practitioner-administered drugs that are approved for coverage, building on guidance originally distributed in April 1999. The updates likely add new drugs or modify existing coverage criteria for medications administered in provider offices.
Medium impact
Newsletter Vol. 9, No. 40
New Jersey Medicaid·Effective Jul 1, 1999
New Jersey Medicaid, General Assistance, and NJ KidCare programs now require pharmacists to dispense the least expensive generic protein nutritional supplements and specialized infant formulas unless the prescriber handwrites 'Brand Medically Necessary' on the prescription. Pharmacists must also mark 'Medical Certification' on the claim when a brand override is requested.
Medium impact
Newsletter Vol. 9, No. 41
New Jersey Medicaid·Effective Aug 16, 1999
New Jersey Medicaid is changing reimbursement for adult disposable diapers/briefs by increasing the rate for HCPCS X7520 from $0.54 to $0.70 per unit and eliminating HCPCS X6000 entirely. Monthly rental fees for airway pressure devices E0452 and E0601 will include all necessary supplies.
Medium impact
Newsletter Vol. 9, No. 42
New Jersey Medicaid·Effective Jul 1, 1999
Effective July 1, 1999, New Jersey Medicaid restructured the prior authorization submission routing for Durable Medical Equipment, Medical Suppliers, Food Supplements, and Prosthetic/Orthotic Services. Providers must now submit FD-354 and FD-357 forms to specific regional Medicaid District Offices based on the beneficiary's county of residence rather than a centralized location.
Medium impact
Newsletter Vol. 9, No. 43
New Jersey Medicaid·Identified Jun 20, 2026
Changes have been made to the submission process for certain prior authorization requests. This policy update affects how specific prior auth requests must be submitted, though detailed requirements are not available in the summary provided.
Low impact
Newsletter Vol. 9, No. 44
New Jersey Medicaid·Identified Jun 20, 2026
This policy update establishes Hospital Administrative Patient Day Rates for 1999. However, given the 1999 date reference and limited content details, this appears to be either historical information or potentially outdated guidance that may not reflect current reimbursement practices.
Medium impact
Newsletter Vol. 9, No. 45
New Jersey Medicaid·Effective Jul 1, 1999
New Jersey Medicaid and NJ KidCare programs are updating the Patient Certification Form (FD-197 Rev. 6/99) effective immediately. Providers must begin using the revised form for all services rendered and retain it on file for program audits. No major operational changes to form requirements occurred; this is primarily a program expansion to include NJ KidCare alongside existing Medicaid coverage.
Low impact
Newsletter Vol. 9, No. 46
New Jersey Medicaid·Identified Jun 20, 2026
Unable to analyze policy change as the provided policy content appears to be incomplete or corrupted. Only partial header information (-- 1 of 2 -- and -- 2 of 2 --) was provided without the actual policy text from Newsletter Vol. 9, No. 46.
Low impact
Newsletter Vol. 9, No. 47
New Jersey Medicaid·Identified Jun 20, 2026
Unable to analyze policy change due to insufficient content provided. Only newsletter header information (Newsletter Vol. 9, No. 47, Category: Pharmacy) was available without the actual policy content or details.
Medium impact
Newsletter Vol. 9, No. 48
New Jersey Medicaid·Effective Jul 1, 1999
New Jersey Medicaid is expanding Private Duty Nursing (PDN) coverage under three waivers (ABC, ACCAP, MW III) to include services outside the home when a beneficiary must leave home to obtain a Medicaid-reimbursable medical service (e.g., physician office visit). Previously, PDN was limited to in-home settings only. A case manager must request MDO approval for out-of-home PDN accompaniment, and nurses cannot operate vehicles or engage in non-medical activities.
Low impact
Newsletter Vol. 9, No. 49
New Jersey Medicaid·Identified Jun 20, 2026
New manufacturer labeler codes have been added to the Medicaid and NJ KidCare Drug Rebate Program list (Appendix E). This update expands the list of pharmaceutical manufacturers eligible for drug rebate programs in New Jersey's Medicaid system.
Low impact
Newsletter Vol. 9, No. 50
New Jersey Medicaid·Effective Jul 1, 1999
New Jersey Medicaid and NJ KidCare programs added Hawthorne Pharmaceuticals (labeler code 63717) to their drug rebate programs effective July 1, 1999. This addition allows pharmaceutical services providers to bill for Hawthorne Pharmaceuticals products under these state programs.
Low impact
Newsletter Vol. 9, No. 51
New Jersey Medicaid·Effective Sep 1, 1999
New Jersey Medicaid and NJ KidCare added 49 new laboratory HCPCS codes and deleted 9 existing codes effective September 1999. New codes include molecular diagnostics, cytopathology, and specialized testing with established fee allowances.
Low impact
Newsletter Vol. 9, No. 52
New Jersey Medicaid·Effective Jan 1, 1999
New Jersey Medicaid has added new HCPCS procedure codes for podiatric services effective January 1, 1999, and will delete certain codes effective October 1, 1999. This update includes specific maximum fee allowances for specialist and non-specialist providers.
Low impact
Newsletter Vol. 9, No. 58
New Jersey Medicaid·Effective Aug 20, 1999
The New Jersey PAAD (Pharmaceutical Assistance to the Aged and Disabled) program has added six new pharmaceutical manufacturers to its Drug Rebate Program. Providers must recognize these manufacturer labeler codes for claims processing, with effective dates ranging from May 1999 through August 1999. Note that PAAD and Medicaid drug rebate programs operate independently with potentially different drug coverage.
Medium impact
Medicaid Alert - MA-1999-05
New Jersey Medicaid·Identified Jun 20, 2026
Medicaid has issued an alert to return to standard billing procedures for family planning services. This suggests a temporary change or exception has ended and providers should revert to previous billing protocols.
Medium impact
Medicaid Alert - MA-1999-06
New Jersey Medicaid·Identified Jun 20, 2026
Failed to analyze policy change
Medium impact
Medicaid Alert - MA-1999-07
New Jersey Medicaid·Identified Jun 20, 2026
This is a provider notice from Cumberland Medicaid District Office in New Jersey. Without access to the full policy document content, specific changes cannot be determined from the summary information provided.
Medium impact
Newsletter Vol. 9, No. 53
New Jersey Medicaid·Effective Oct 1, 1999
Effective October 1, 1999, the CCPED program will begin covering prescription drugs for elderly and disabled beneficiaries, while PAAD coverage for these individuals will end September 30, 1999. This adds pharmaceutical services as the eighth covered service category under CCPED with specific reimbursement rates and prior authorization requirements.
High impact
Newsletter Vol. 9, No. 54
New Jersey Medicaid·Effective Oct 1, 1999
New Jersey Medicaid and NJ KidCare has reduced reimbursement rates for over 140 laboratory and pathology HCPCS codes to align with Medicare fee schedules. Most codes show significant payment decreases, with some reductions over 50%.
Low impact
Newsletter Vol. 9, No. 56
New Jersey Medicaid·Effective Oct 1, 1999
New Jersey is implementing a pharmacy lock-in program for Work First New Jersey/General Assistance beneficiaries who have misused pharmaceutical services, effective October 1, 1999. These beneficiaries will be restricted to a single selected pharmacy, with emergency coverage limited to 72-hour supplies at non-restricted pharmacies.

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Newsletter Vol. 9, No. 35

Newsletter Vol. 9, No. 36

Newsletter Vol. 9, No. 39

Newsletter Vol. 9, No. 37

Newsletter Vol. 9, No. 38

Newsletter Vol. 9, No. 40

Newsletter Vol. 9, No. 41

Newsletter Vol. 9, No. 42

Newsletter Vol. 9, No. 43

Newsletter Vol. 9, No. 44

Newsletter Vol. 9, No. 45

Newsletter Vol. 9, No. 46

Newsletter Vol. 9, No. 47

Newsletter Vol. 9, No. 48

Newsletter Vol. 9, No. 49

Newsletter Vol. 9, No. 50

Newsletter Vol. 9, No. 51

Newsletter Vol. 9, No. 52

Newsletter Vol. 9, No. 58

Medicaid Alert - MA-1999-05

Medicaid Alert - MA-1999-06

Medicaid Alert - MA-1999-07

Newsletter Vol. 9, No. 53

Newsletter Vol. 9, No. 54

Newsletter Vol. 9, No. 56