MedicaidAdministrativeMedium impact
Medicaid Alert MA2018-03
New Jersey Medicaid·NJ · Family Medicine, Internal Medicine, Geriatrics·Provider Notice
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid now requires nursing facilities to report both a Facility Identification Number and Facility Name on all pharmacy claims. This applies specifically to pharmacy billing for residents in nursing facilities.
Action Required
Immediately: Billing team must update pharmacy claim submissions for nursing facility residents to include both Facility Identification Number and Facility Name fields. Contact nursing facilities to obtain correct facility IDs and names. Update billing software templates to require these fields for Medicaid pharmacy claims to prevent rejections.