MedicaidBilling CodesHigh impact
CBHS/PFC/CSOCI Newsletter Vol. 04, No. 02
New Jersey Medicaid·NJ · Psychiatry, Pediatrics·Provider Notice
Effective date
Jul 1, 2003
We identified it
Jun 20, 2026
Summary
Effective July 1, 2003, providers enrolled as Medicaid/NJ FamilyCare fee-for-service providers of Mental Health Rehabilitation/Behavioral Assistance Services must bill directly using their specific Mental Health Rehabilitation/Behavioral Assistance Provider ID number. Claims submitted using any other provider ID will be denied, even if valid for other services. This applies to the Partnership for Children program serving children, youth, and young adults.
Action Required
By July 1, 2003: Billing team must verify that all Mental Health Rehabilitation/Behavioral Assistance providers have their correct, specific provider ID number on file in the billing system. Update billing software to require the correct Mental Health Rehabilitation/Behavioral Assistance Provider ID for all behavioral assistance service claims submitted to Medicaid/NJ FamilyCare Plan A. Train all billing staff to validate provider ID matches service type before claim submission. Implement verification checks in claims processing workflow to prevent submission using alternative provider IDs. Refer to Partnership for Children Newsletter Vol. 4 No. 1 (February 2004) for specific billing instructions. Consequence: Claims submitted with incorrect provider ID numbers will be denied and must be resubmitted, delaying reimbursement.