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MedicaidReimbursementMedium impact

Newsletter Vol. 21, No.11

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

Summary

New Jersey Medicaid has assigned new State Upper Limit (SUL) prices for covered drugs and medical supplies. These price limits will affect reimbursement rates for applicable HCPCS codes and may impact claim payments for providers billing Medicaid.

Action Required

Action needed
Review the complete policy document at the provided URL to identify specific affected HCPCS codes and new reimbursement limits. Update billing system with new SUL prices when effective date is determined. Monitor claim payments for any adjustments due to new price limits.

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