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Senior Services News Vol. 7, No. 03

New Jersey Medicaid·NJ · Geriatrics·Coding
Effective date
Jun 1, 2003
We identified it
Jun 20, 2026
Days to comply

Summary

Effective June 1, 2003, providers billing New Jersey Medicaid for Adult Day Health Services (ADHS) must change from monthly billing cycles to day-specific dates of service on all claims. This change, mandated by the state auditor, requires providers to report the exact service date for each Medicaid beneficiary to enhance payment monitoring and reduce improper claims.

Action Required

Action needed
By June 1, 2003: Billing team must update all billing software and claim submission processes to capture and report day-specific dates of service instead of monthly service spans for Adult Day Health Services claims. Providers must modify encounter documentation and claim forms to record individual service dates for each Medicaid beneficiary. Contact Unisys (ADHS fiscal agent) for system updates and technical guidance. All claims submitted on or after June 1, 2003 must include specific service dates or will be subject to denial or recalculation. Notify all clinical staff that daily service dates must be documented in patient records.