MedicaidCoverageMedium impact

Medicaid Alert MA-2023-01

Q: Who is affected by this change?

This affects New Jersey Medicaid Family Medicine, Internal Medicine, Pediatrics, Emergency Medicine providers in NJ on Medicaid plans.

New Jersey Medicaid·NJ · Family Medicine, Internal Medicine, Pediatrics +1 more·Coding

Effective date

Not stated

We identified it

Jun 20, 2026

Days to comply

—

Summary

New Jersey Medicaid/NJ FamilyCare has updated billing procedures for at-home SARS-CoV-2 test kits under fee-for-service coverage. This policy establishes specific requirements for billing COVID-19 home test kits to Medicaid patients.

Action Required

Action needed

Immediately: Billing team must review and implement updated procedures for billing at-home COVID-19 test kits to NJ Medicaid/FamilyCare fee-for-service patients. Download full policy document from NJ MMIS website to obtain specific billing requirements and covered test kit specifications.

Related policy hubs

New Jersey Medicaid policies NJ policy changes Family Medicine Internal Medicine Pediatrics Emergency Medicine