MedicaidAdministrativeMedium impact
Newsletter Vol. 21, No.30
New Jersey Medicaid·NJ · Palliative Care·Provider Notice
Effective date
Nov 11, 2011
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid hospice providers must now submit monthly reports to prevent fee-for-service beneficiaries in nursing facilities from being auto-assigned to managed care when electing hospice benefits. A specific form must be faxed by the 15th of each month to maintain proper Medicaid coverage.
Action Required
By the 15th of each month: Hospice providers must complete and fax the 'Hospice Elections/Discharges by Nursing Facility Residents' form to DMAHS at (609) 588-3714. Include all beneficiaries who newly elected hospice services, revoked hospice services, or were discharged from hospice services since the last report. Form must include hospice provider name/number, beneficiary name/Medicaid ID, hospice election date, nursing facility name/provider number, and discharge date if applicable. Contact Marcia Harrison at 609-588-4693 with questions.