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MedicaidCoverageMedium impact

Newsletter Vol. 29, No.13

New Jersey Medicaid·NJ·Eligibility
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply
—

Summary

New policy update regarding Long Term Residential (LTR) Managed Care Coverage eligibility requirements. This appears to affect billing and coverage determinations for patients in long-term residential care facilities under managed care plans.

Action Required

Action needed
Review Newsletter Vol. 29, No.13 at https://www.njmmis.com/documentDownload.aspx?document=29-13.pdf for complete details on LTR Managed Care Coverage eligibility changes. Billing team should verify patient eligibility status before submitting claims for patients in long-term residential facilities.

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