MedicaidAdministrativeMedium impact
Newsletter Vol. 17, No. 03
New Jersey Medicaid·NJ·Provider Notice
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid will automatically assign Aged, Blind and Disabled (ABD) beneficiaries to Health Maintenance Organizations (HMOs) in Atlantic, Gloucester, Sussex and Warren Counties. This affects billing and authorization processes for ABD Medicaid patients in these specific counties.
Action Required
Verify patient HMO assignments for all ABD Medicaid beneficiaries in Atlantic, Gloucester, Sussex and Warren Counties before scheduling appointments. Update patient insurance information in billing system to reflect new HMO assignments. Ensure proper referrals and authorizations are obtained from assigned HMOs rather than fee-for-service Medicaid.