All PlansDocumentationMedium impact

Newsletter Vol. 13, No. 70

Q: Who is affected by this change?

This affects New Jersey Medicaid Family Medicine, Internal Medicine, General Practice, Geriatrics providers in NJ on All Plans plans.

New Jersey Medicaid·NJ · Family Medicine, Internal Medicine, General Practice +1 more·Provider Notice

Effective date

Not stated

We identified it

Jun 20, 2026

Days to comply

—

Summary

This policy update addresses compliance requirements for OBRA (Omnibus Budget Reconciliation Act) patient consultation obligations. Healthcare providers must ensure they meet federal consultation standards when treating certain patient populations, particularly in long-term care and nursing facility settings.

Action Required

Action needed

Immediately: Review current patient consultation procedures to ensure OBRA compliance. Billing team and providers should verify documentation requirements for nursing facility consultations and long-term care services. Update consultation templates and workflows to meet federal OBRA standards to avoid potential compliance issues.

Related policy hubs

New Jersey Medicaid policies NJ policy changes Family Medicine Internal Medicine General Practice Geriatrics