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Newsletter Vol. 23, No.08

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

Summary

Enhanced reimbursement rates are now available for Advanced Practice Nurses (APNs) who participate in certain physician group practices. This policy increases payment rates for qualifying APN services when specific participation criteria are met.

Action Required

Action needed
Immediately: Billing team should review APN participation status in physician group practices to determine eligibility for enhanced reimbursement rates. Verify current APN billing setup captures the higher rates when applicable. Contact the payer to confirm participation requirements and implementation timeline.

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