MedicaidAdministrativeMedium impact
NewsLetter Vol. 21 No. 05
New Jersey Medicaid·NJ·Pharmacy
Effective date
Apr 1, 2011
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid is implementing new NCPDP versions D.0/1.2 claim formats for pharmacy claims. Pharmacies can voluntarily begin using the new formats starting April 1, 2011, but they become mandatory for all pharmacy claims processed on or after January 1, 2012.
Action Required
By January 1, 2012: Pharmacy billing teams must complete testing and implementation of NCPDP versions D.0/1.2 claim formats for all New Jersey Medicaid pharmacy claims. Contact Molina Medicaid Solutions EDI Unit at 609-588-6051 to schedule testing, complete required Addendum/Agreements, and submit Self-Attestation Letter upon testing completion. Update billing software to support new claim formats as old versions 5.1/1.1 will no longer be accepted after December 31, 2011.