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Newsletter Vol. 34, No.09

New Jersey Medicaid·NJ · Family Medicine, Internal Medicine·Medical Policy
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply
—

Summary

A new policy establishes coverage for Acute Hospital Care at Home Services, allowing eligible patients to receive hospital-level care in their home setting. This creates new billing opportunities for home-based acute care services that were previously only covered in traditional hospital settings.

Action Required

Action needed
Review the full policy document at https://www.njmmis.com/documentDownload.aspx?document=34-09.pdf to identify specific billing codes, coverage criteria, and documentation requirements for Acute Hospital Care at Home Services. Update billing team on new coverage options and ensure proper coding protocols are established once full details are available.

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