All PlansAdministrativeHigh impact
Newsletter Vol. 33, No.10
New Jersey Medicaid·NJ·Provider Notice
We identified it
Jun 20, 2026
Summary
Public Health Emergency (PHE) flexibilities that were implemented during COVID-19 are being terminated. Healthcare practices must return to pre-pandemic billing, documentation, and operational requirements.
Action Required
Immediately: Review and update all billing procedures to remove COVID-19 emergency flexibilities. Billing team must restore pre-pandemic prior authorization requirements, documentation standards, and telehealth limitations. Update billing software to remove temporary COVID billing codes and modifiers. Verify all emergency coverage expansions are removed from system. Failure to comply may result in claim denials and audit findings.