MedicaidBilling CodesMedium impact
Newsletter Vol. 24, No. 11
New Jersey Medicaid·NJ·Provider Notice
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid has revised preventive care services guidelines and updated requirements for modifier '33' usage under the Affordable Care Act Section 4106. This affects billing for preventive care services that are mandated to be covered without cost-sharing.
Action Required
Review Newsletter Vol. 24, No. 11 for updated preventive care services guidelines and modifier '33' requirements. Billing team should verify correct usage of modifier '33' on preventive care claims to ensure compliance with ACA Section 4106 requirements. Update billing procedures to reflect any changes in preventive care service coverage or documentation requirements.