MedicaidReimbursementMedium impact
Newsletter Vol. 31, No.28
New Jersey Medicaid·NJ·Coding
Effective date
Jan 1, 2022
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid increased reimbursement rates for Personal Care Assistant services from $22.00 to $23.00 per hour effective January 1, 2022, affecting billing codes T1019 and S9122. Providers must use the entire $1.00 increase to raise PCA worker wages and retain documentation proving compliance.
Action Required
Immediately: Billing team must verify that claims for codes T1019 and S9122 for PCA services are processing at the new $23.00 hourly rate in billing system. Contact mahs.provider-inquiries@dhs.nj.gov if claims are not processing at increased rate. Providers must retain adequate documentation showing the $1.00 rate increase was passed through to PCA worker wages, as failure to do so may result in remediation and penalties.