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Newsletter Vol. 13, No. 06
Act
immediately
Effective date
Sep 16, 2002
Identified
Jun 20, 2026
Summary
New Jersey Medicaid/NJ FamilyCare increases reimbursement rates for 31 selected HCPCS procedure codes effective September 16, 2002. Family Planning Clinic providers must update billing systems to reflect the new maximum fee allowances for evaluation/management visits, family planning procedures, and related services.
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What to do
immediately · 4 steps
01Billing team must update all NJ Medicaid/NJ FamilyCare fee-for-service fee schedules in the billing system to reflect new maximum reimbursement rates for the 31 affected HCPCS codes listed in the policy.
02Update billing software with modifier WF rates and modifier 52 rates where applicable (e.g., 99203 WF $83.70, 99203 WF-52 $79.70).
03Verify that claims submitted for service dates on or after September 16, 2002 use the updated fee allowances.
04Communicate changes to all providers and front desk staff.
If missed: Failure to update rates may result in underbilling and lost revenue for Family Planning services.
Codes mentioned
119765745257454575115830058301907829920199202992039920499205992119921299213992149921599395G0001Y7633Y7634
Original notice
Newsletter Vol. 13, No. 06
njmmis.com · Always check the source before changing claims.
Related changes
See all New Jersey Medicaid changes →Newsletter Vol. 12, No. 74HighEffective Sep 16, 2002 · Provider NoticeNewsletter Vol. 32, No.13MediumEffective May 1, 2022 · Medical PolicyMedicaid Alert MA2021-01HighEffective Apr 20, 2021 · CodingNewsletter Vol. 32, No.03MediumEffective Jan 1, 2022 · Provider NoticeBrowse every New Jersey Medicaid change in the policy list