MedicaidBilling CodesMedium impact
Newsletter Vol. 32, No.13
New Jersey Medicaid·NJ · OB-GYN, Family Medicine·Medical Policy
Effective date
May 1, 2022
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid/NJ FamilyCare now allows Certified Midwives (CM) and Certified Professional Midwives (CPM) to enroll as providers, expanding beyond just CNMs. For fee-for-service claims starting July 1, 2022, midwives must add the 'SB' modifier to most professional services for reimbursement.
Action Required
By July 1, 2022: Billing team must update billing system to require 'SB' modifier for all midwife professional services in NJ Medicaid fee-for-service except CenteringPregnancy 99078 TH, family planning clinic services, laboratory services, vaccinations, and specified drug administration codes. Update encounter forms and billing software rules. Claims without proper SB modifier will not be reimbursed.