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Newsletter Vol. 30, No.24

New Jersey Medicaid·NJ · OB-GYN, Family Medicine·Provider Notice
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply
—

Summary

New Jersey Medicaid now requires a Perinatal Risk Assessment (PRA) to be completed and documented for reimbursement of all prenatal care services. This assessment must be performed to ensure proper payment for maternity-related visits and procedures.

Action Required

Action needed
Immediately: Providers must complete and document Perinatal Risk Assessment (PRA) for all prenatal care visits. Update EMR templates to include PRA documentation requirements. Billing team must verify PRA completion before submitting prenatal care claims. Claims without completed PRA will not be reimbursed.

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