MedicaidAdministrativeHigh impact
Newsletter Vol. 30, No.16
New Jersey Medicaid·NJ · OB-GYN, Family Medicine, Pediatrics·Provider Notice
We identified it
Jun 20, 2026
Summary
New Third Party Liability (TPL) requirements have been established for prenatal, labor, delivery, and postpartum care services under the Children's Health Insurance Program (CHIP). Providers must now verify and coordinate benefits with other insurance sources before billing CHIP for these maternal and child health services.
Action Required
Immediately: Billing team must implement TPL verification procedures for all prenatal, labor, delivery, and postpartum services before submitting CHIP claims. Update patient registration process to collect all insurance information. Coordinate benefits with primary insurance carriers first, then bill CHIP as secondary payer. Front desk staff must verify insurance eligibility and benefits coordination at each visit.