MedicaidAdministrativeHigh impact
Medicaid Alert MA2018-03
New Jersey Medicaid·NJ · Pharmacy·Provider Notice
Effective date
Aug 1, 2018
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid is changing the reporting requirements for nursing facility pharmacy claims. Effective August 1, 2018, pharmacies MUST report both a Facility Identification Number (Field 336-8C) and Facility Name (Field 385-3Q) on all nursing facility claims. Previously optional, these fields are now mandatory. Claims missing this information will be denied with Error Code 2247 or 2248.
Action Required
By August 1, 2018: Billing team must update pharmacy billing system to require and validate Facility ID (Field 336-8C) and Facility Name (Field 385-3Q) on all nursing facility pharmacy claims submitted to NJ Medicaid. Verify that all nursing facility accounts in the billing system have both Facility ID and Facility Name populated. Test claim submissions to ensure fields are correctly populated before the effective date. Failure to include both required fields will result in claim denials under Error Code 2247 (missing/incorrect Facility ID) or Error Code 2248 (invalid Facility ID validation).