MedicaidReimbursementMedium impact
Newsletter Vol. 26, No. 01
New Jersey Medicaid·NJ · Palliative Care·Reimbursement
We identified it
Jun 20, 2026
Summary
New dual payment rates are now in effect for Routine Home Care services (T2042), and an additional payment has been established for registered nurse or social worker services provided during a beneficiary's final seven days of life.
Action Required
Immediately: Billing team must verify current reimbursement rates for HCPCS code T2042 in billing system to ensure dual rates are properly configured. Update billing procedures to capture and bill for add-on payments when RN or social worker services are provided during the last seven days of a beneficiary's life. Contact the payer to obtain specific billing instructions and rate details for the add-on payment.