MedicaidCoverageMedium impact
Newsletter Vol. 28, No.13
New Jersey Medicaid·NJ · Psychiatry, Internal Medicine, Family Medicine·Eligibility
We identified it
Jun 20, 2026
Summary
NJ FamilyCare (New Jersey Medicaid) has updated coverage policies for short-term residential, long-term residential, and residential withdrawal management services under their fee-for-service program. This affects billing and coverage determinations for substance abuse and mental health residential treatment facilities.
Action Required
Review the complete policy document at https://www.njmmis.com/documentDownload.aspx?document=28-13.pdf to understand specific coverage criteria, documentation requirements, and billing procedures for residential treatment services. Update billing workflows for NJ FamilyCare members requiring residential substance abuse or mental health treatment.