MedicaidCoverageMedium impact
Newsletter Vol. 13, No. 23
New Jersey Medicaid·NJ · Psychiatry·Provider Notice
Effective date
Jul 1, 2002
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid is implementing Community Adult Mental Health Rehabilitation (AMHR) services as a reimbursable benefit, replacing separate mental health PCA services. Providers must re-enroll as AMHR providers and bill based on five levels of care (A+, A, B, C, D) with specific per diem or quarter-hour billing requirements.
Action Required
Mental Health PCA providers must re-enroll as Adult Mental Health Rehabilitation providers to receive new provider numbers. Until new numbers are issued, submit AMHR claims using existing Mental Health PCA provider numbers. Implement comprehensive nursing assessments within 14 days of admission and 60-day reviews. Update billing procedures to bill appropriate service levels (A+, A, B, C, D) based on contracted care level or actual service provided, whichever is lower.