MedicaidReimbursementHigh impact
Medicaid Alert MA-2023-05
New Jersey Medicaid·NJ · Psychiatry, Family Medicine, Pediatrics·Reimbursement
Effective date
Jul 1, 2023
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid has increased reimbursement rates for behavioral health services effective July 1, 2023. The policy provides updated payment rates for psychiatric evaluations, psychotherapy, medication monitoring, and substance abuse treatment services with different rates for specialists vs non-specialists and child-specific services.
Action Required
Immediately: Billing team must update fee schedules in billing system with new Medicaid reimbursement rates for all listed behavioral health CPT codes and HCPCS codes effective July 1, 2023. Ensure system differentiates between specialist/non-specialist rates and child-specific rates. Update encounter forms and verify all claims with dates of service on or after July 1, 2023 use the new rates. Monitor www.njmmis.com for future rate updates.