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MedicaidAdministrativeMedium impact

Newsletter Vol. 20, No.29

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

Summary

A new mandatory online application process has been implemented for Presumptive Eligibility determinations. Healthcare providers must now use a specific online system to process these eligibility applications instead of previous methods.

Action Required

Action needed
Immediately: Staff responsible for eligibility verification must begin using the new mandatory online application process for all Presumptive Eligibility determinations. Update front desk procedures to direct staff to the online system. Train relevant staff on the new application workflow to ensure compliance.