MedicaidBilling CodesMedium impact
Newsletter Vol. 28, No.05
New Jersey Medicaid·NJ·Provider Notice
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid has revised guidelines for preventive care services under the Affordable Care Act, specifically updating requirements for using modifier '33' on preventive care claims to ensure proper identification and processing.
Action Required
Immediately: Billing team must review the full policy document at the provided URL to understand specific changes to modifier '33' usage requirements. Update billing software and staff training to ensure proper application of modifier '33' on all preventive care services covered under ACA Section 4106. Verify encounter forms include modifier '33' prompts for preventive services.