MedicaidAdministrativeMedium impact
Newsletter Vol. 13, No. 16
New Jersey Medicaid·NJ·Pharmacy
Effective date
Jul 1, 2003
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid is implementing new NCPDP version 5.1 and 1.1 electronic claim formats for pharmacy services, replacing the current NCPDP 3.C version. Pharmacies must transition to these new HIPAA-compliant formats for claims with service dates July 1, 2003 and later, with mandatory compliance beginning October 1, 2003.
Action Required
By July 1, 2003: Pharmacy providers must obtain and implement the New Jersey NCPDP Companion Guide available at www.njmmis.com to submit claims in new NCPDP version 5.1 format for point-of-sale claims and version 1.1 format for Electronic Media Claims. Share the guide with technical support staff and software vendors. By October 1, 2003: New formats become mandatory for all electronic pharmacy claims. Contact Lorraine Harris at (609) 588-2450 for technical questions.