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Newsletter Vol. 22, No.05

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

Summary

New guidance on proper reporting of National Provider Identifier (NPI) numbers on claims and billing documentation. This policy clarifies requirements for NPI usage to ensure accurate provider identification and claim processing.

Action Required

Action needed
Immediately: Review all billing systems and claim submission processes to ensure correct NPI reporting. Verify that the correct rendering provider, billing provider, and facility NPI numbers are being used in appropriate fields on all claims. Update staff training on proper NPI usage and documentation requirements.