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MedicaidAdministrativeMedium impact

Newsletter Vol. 18, No. 17

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

Summary

New Jersey Medicaid will automatically assign Aged, Blind and Disabled (ABD) clients to Health Maintenance Organizations (HMOs) in Hudson, Hunterdon, Somerset, and Union counties. This affects how ABD Medicaid patients receive care in these specific counties.

Action Required

Action needed
Billing team should verify HMO assignment for all ABD Medicaid patients in Hudson, Hunterdon, Somerset, and Union counties. Update patient insurance information in billing system to reflect HMO assignment. Front desk staff must obtain referrals and prior authorizations as required by assigned HMOs for these patients.