All PlansReimbursementMedium impact
Newsletter Vol. 23, No.12
New Jersey Medicaid·Family Medicine, Internal Medicine, General Practice +1 more·Provider Notice
We identified it
Jun 20, 2026
Summary
Enhanced reimbursement rates have been revised for Advanced Practice Nurses (APNs) who participate in certain physician group practices. This policy update affects payment rates for qualifying APN services when provided within eligible group practice settings.
Action Required
Immediately: Billing team should access the full policy document at https://www.njmmis.com/documentDownload.aspx?document=23-12.pdf to review specific reimbursement rate changes and eligible group practice criteria. Verify current APN billing setup captures enhanced rates for qualifying services. Update fee schedules in billing system once specific rates are confirmed.