MedicaidCoverageMedium impact
Medicaid Alert - MA-2004-03
New Jersey Medicaid·NJ·Eligibility
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid is expanding Fee-for-Service pharmacy benefits coverage to additional Aged, Blind and Disabled (ABD) beneficiaries. This change affects which Medicaid members can receive pharmacy benefits through the FFS system rather than managed care.
Action Required
Review current New Jersey Medicaid ABD patient eligibility and verify proper billing pathway for pharmacy benefits. Contact New Jersey Medicaid to confirm which patients now qualify for FFS pharmacy coverage versus managed care pharmacy benefits. Update patient eligibility verification procedures to check FFS pharmacy benefit status.