MedicaidReimbursementMedium impact
Newsletter Vol. 19, No. 04
New Jersey Medicaid·NJ · Psychiatry·Provider Notice
Effective date
Jul 1, 2008
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid now allows partial hospitalization services beyond the 24-month limit with reimbursement at $77 per full 5-hour day or $15.40 per hour for partial days. Services must be between 2-5 hours daily with a maximum of 25 hours per week.
Action Required
Billing team must update system to bill partial hospitalization services beyond 24 months at $77 for full 5-hour days or $15.40 per hour for partial days. Ensure system enforces 2-5 hour daily limits and 25-hour weekly maximums. Do not round up partial hours or days when calculating billable time.