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MedicaidCoverageMedium impact

Newsletter Vol. 28, No.17

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

Summary

New Jersey Family Care (NJFC) now covers telemedicine and telehealth services with the same reimbursement as face-to-face visits. Providers must use interactive, real-time audio-video technology with minimum 384 kbps bandwidth and follow specific documentation and patient authentication requirements.

Action Required

Action needed
Immediately: Providers offering telehealth services must ensure technology meets 384 kbps minimum bandwidth requirement with two-way audio-video capability. Update documentation procedures to note when services are provided via telehealth. Establish patient authentication protocols using name, date of birth, and address. Ensure HIPAA-compliant software is used instead of consumer programs. For Schedule II controlled substances, require initial in-person visit and quarterly follow-ups (except stimulants for minors under 18 with parental consent). Billing team should verify all telehealth claims include proper documentation indicating service delivery method.