MedicaidAdministrativeMedium impact
Newsletter Vol. 22, No. 09
New Jersey Medicaid·NJ·Provider Notice
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid has updated their use of the Hospital Acquired Conditions (HAC) List, which affects how certain hospital-acquired conditions are handled for billing and reimbursement. This policy change impacts providers who treat Medicaid patients and submit claims for conditions that may be considered hospital-acquired.
Action Required
Review the full Newsletter Vol. 22, No. 09 from NJMMIS to understand specific HAC requirements. Billing team should verify current HAC coding practices align with updated New Jersey Medicaid guidelines. Update internal procedures for documenting and billing conditions that may be classified as hospital-acquired to ensure proper reimbursement.