MedicaidReimbursementMedium impact
Newsletter Vol. 27, No.04
New Jersey Medicaid·NJ·Medical Policy
We identified it
Jun 20, 2026
Summary
This policy update addresses state coverage and reimbursement rules for 340B drugs, which are prescription medications purchased at discounted rates by eligible healthcare entities under the federal 340B Drug Pricing Program. The changes likely affect how these medications are billed and reimbursed by state programs.
Action Required
Review Newsletter Vol. 27, No.04 at https://www.njmmis.com/documentDownload.aspx?document=27-04.pdf to understand specific 340B drug coverage and reimbursement changes. Billing team should verify if practice participates in 340B program and update billing procedures accordingly for state-covered patients receiving 340B medications.