MedicaidAdministrativeHigh impact
Medicaid Alert - MA2016-04
New Jersey Medicaid·NJ · Psychiatry·Provider Notice
Effective date
Feb 1, 2017
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid has established strict rules for reporting dates of service on behavioral health claims effective February 1, 2017. Most behavioral health services must be billed with single dates only - span date reporting is prohibited for therapy, assessments, and most services, requiring separate claims for each date when services span multiple days.
Action Required
By February 1, 2017: Billing team must update system to prevent span date reporting for most behavioral health services. Configure billing software to require separate claims for each date of service when behavioral health services are provided over multiple days. Only allow span dates for specific residential services (H0019 codes) and PACT services (H0040). Train staff that individual therapy, assessments, and group therapy must be billed as single dates only. Claims with improper span dates will be rejected.