MedicaidDocumentationMedium impact
Medicaid Alert MA-2024-02
New Jersey Medicaid·NJ · Oncology, OB-GYN, Cardiology +1 more·Provider Notice
Effective date
Nov 1, 2024
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid has revised the Genetic Supporting Information Form (FD-431) to require 'Date Ordered' instead of 'Date of Service' and now allows providers to use their existing test requisition forms instead of the FD-431, provided they contain all required information elements.
Action Required
Immediately: Providers submitting genetic assay testing claims to NJ Medicaid must either (1) use the revised FD-431 form and report 'Date Ordered' instead of 'Date of Service', or (2) attach existing test requisition forms that include all required elements: provider info with Medicaid ID, member info with Medicaid ID number, gene assay testing details with date ordered and ICD-10 codes, reason for testing, description of future medical management impact, and authorized signature. Billing team should update workflow to ensure proper form completion and attachment to all genetic testing claims.