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MedicaidAdministrativeMedium impact

Medicaid Alert - MA-2009-02

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

Summary

CMS has updated the accepted version of the CMS-1500 claim form to the revised 8/05 edition for Medicaid claims. This policy clarifies which version of the standard paper claim form will be accepted for processing.

Action Required

Action needed
Immediately: Billing team must ensure all paper CMS-1500 claim forms use the revised 8/05 edition when submitting Medicaid claims. Update form inventory and discard older versions. Verify billing software generates the correct form version for printed claims.