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Newsletter Vol. 26, No.15

New Jersey Medicaid·NJ · Psychiatry·Provider Notice
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply
—

Summary

New Jersey Medicaid has clarified the proper use of Evaluation and Management (E&M) codes for behavioral health services, specifically addressing when intake assessments can be billed with E&M codes versus behavioral health-specific codes.

Action Required

Action needed
Immediately: Behavioral health providers and billing teams should review the clarification document at https://www.njmmis.com/documentDownload.aspx?document=26-15.pdf to ensure proper E&M code usage for intake assessments. Update billing practices to comply with the clarified guidelines for behavioral health services.

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