Summary
New Jersey Medicaid/NJ FamilyCare is implementing NJ InCK services for pediatric beneficiaries (20 years or younger) in Monmouth and Ocean Counties. Two new billable services are available: interpretation of needs assessment tool (must be co-billed with office visits) and care coordination for high-risk children.
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What to do
Action · 3 steps
01For pediatric practices in Monmouth and Ocean Counties, NJ: Implement billing for NJ InCK needs assessment interpretation service when co-billing with well-child visits (99381-99385, 99391-99395) or E&M visits (99201-99205, 99211-99215).
02Update billing system to track that this service can be billed up to twice per calendar year (additional times for children under 36 months or those assigned to Service Integration Level 3).
03Contact NJ InCK Grantees for patient access to HealthStory assessment tool.
Codes mentioned
9938199382993839938499385993919939299393993949939599201992029920399204992059921199212992139921499215
Original notice
Newsletter Vol. 32, No.03
njmmis.com · Always check the source before changing claims.
Related changes
See all New Jersey Medicaid changes →Medicaid Alert MA2021-01HighEffective Apr 20, 2021 · CodingNewsletter Vol. 12, No. 84MediumEffective Sep 9, 2002 · Provider NoticeNewsletter Vol. 35, No.08HighEffective Jul 1, 2025 · ReimbursementNewsletter Vol. 12, No. 82HighEffective Sep 9, 2002 · Provider NoticeBrowse every New Jersey Medicaid change in the policy list