MedicaidAdministrativeMedium impact
Medicaid Alert MA2019-03
New Jersey Medicaid·NJ·Provider Notice
We identified it
Jun 20, 2026
Summary
Medicaid providers must now properly report patient residence identifiers on all pharmacy claims to ensure accurate processing and reimbursement. This alert specifies the correct format and requirements for submitting residence information with pharmacy billing.
Action Required
Immediately: Billing team must update pharmacy claim submission procedures to include proper patient residence identifiers in the required format. Review current pharmacy billing workflows and modify billing software settings to ensure residence information is captured and transmitted correctly on all Medicaid pharmacy claims. Verify staff training on new residence identifier requirements to prevent claim rejections.