MedicaidCoverageMedium impact
Newsletter Vol. 13, No. 61
New Jersey Medicaid·NJ·Medical Policy
Effective date
Nov 1, 2003
We identified it
Jun 20, 2026
Summary
New Jersey FamilyCare Plan H benefit coverage is changing effective November 1, 2003, with specific copay structures and coverage limitations. All restricted alien parents will be enrolled in Plan H and receive the same benefit package.
Action Required
By November 1, 2003: Billing team must verify Plan H eligibility by checking for designation value 'H' in the Message Field of patient ID cards. Update billing system to apply correct copays: $5 for most services, $35 for ER visits, $10 for after-hours visits. Use REVS and MEVS systems to validate service coverage for all Plan H beneficiaries.