MedicaidAdministrativeMedium impact
Medicaid Alert MA2018-02
New Jersey Medicaid·NJ·Provider Notice
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid has updated their NCPDP D.0/1.2 Payer Sheet, which affects prescription drug billing and processing for Medicaid members. This change impacts how pharmacy claims are submitted and processed through the electronic data interchange system.
Action Required
Immediately: Billing team should download the updated New Jersey NCPDP D.0/1.2 Payer Sheet from the NJ MMIS website and update pharmacy billing software with new payer information. Contact pharmacy billing vendor if assistance is needed with implementation. Failure to update may result in prescription claim processing delays or rejections.