MedicaidAdministrativeLow impact
Newsletter Vol. 31, No.23
New Jersey Medicaid·NJ·Eligibility
Effective date
Oct 1, 2021
We identified it
Jun 20, 2026
Summary
New Jersey DDD and Community Care Program providers can now submit simplified applications when changing primary or secondary location addresses. Providers changing primary locations must answer 'Yes' to a specific question, while secondary location changes only require completing the secondary location section without reporting all other locations. No application fee is required for DDD providers.
Action Required
Immediately: This policy affects provider enrollment and credentialing processes, not billing operations. Front desk/administrative staff responsible for provider applications should: (1) Update provider enrollment forms to reflect the new simplified application process for location changes, (2) Ensure providers changing primary locations select 'Yes' on the 'Primary Physical Location' question, (3) For secondary location changes only, complete the 'Secondary Location Change' section without requiring full application details, (4) Confirm with Gainwell Technologies (609-588-6036) that billing system addresses and provider records are updated accordingly to avoid claims routing issues. Billing team should verify that any address changes in the system match what was submitted to avoid claim denials due to incorrect remittance addresses.