MedicaidAdministrativeMedium impact

Newsletter Vol. 26, No. 06

Q: Who is affected by this change?

This affects New Jersey Medicaid Psychiatry, Family Medicine, Internal Medicine, General Practice providers in NJ on Medicaid plans.

New Jersey Medicaid·NJ · Psychiatry, Family Medicine, Internal Medicine +1 more·Coding

Effective date

Not stated

We identified it

Jun 20, 2026

Days to comply

—

Summary

New Jersey FamilyCare has implemented new billing procedures specifically for Substance Use Disorder (SUD) treatment services. This policy update affects how providers bill for addiction treatment and mental health services under NJ's Medicaid program.

Action Required

Action needed

Immediately: Billing teams treating substance use disorders should review the new NJ FamilyCare billing procedures document at https://www.njmmis.com/documentDownload.aspx?document=26-06.pdf. Update billing workflows and staff training for SUD treatment services to ensure compliance with new requirements. Verify current SUD claims are following updated procedures to prevent denials.

Related policy hubs

New Jersey Medicaid policies NJ policy changes Psychiatry Family Medicine Internal Medicine General Practice