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Newsletter Vol. 13, No. 16
Act
by Jul 1, 2003
Effective date
Jul 1, 2003
Identified
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.
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What to do
by Jul 1, 2003 · 4 steps
01Pharmacy 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.
02Share the guide with technical support staff and software vendors.
03By October 1, 2003: New formats become mandatory for all electronic pharmacy claims.
04Contact Lorraine Harris at (609) 588-2450 for technical questions.
Original notice
Newsletter Vol. 13, No. 16
njmmis.com · Always check the source before changing claims.
Related changes
See all New Jersey Medicaid changes →Newsletter Vol. 13, No. 01LowEffective Jan 1, 2003 · Provider NoticeNewsletter Vol. 13, No. 02MediumEffective Jan 1, 2003 · CodingNewsletter Vol. 13, No. 03MediumNo effective date · Provider NoticeNewsletter Vol. 13, No. 04LowEffective Dec 27, 2002 · PharmacyBrowse every New Jersey Medicaid change in the policy list