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Newsletter Vol. 12, No. 101

New Jersey Medicaid·NJ · Pediatrics, Family Medicine·Provider Notice
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply
—

Summary

New documentation requirements have been established for EPSDT (Early and Periodic Screening, Diagnostic and Treatment) and PDN (Private Duty Nursing) services. Healthcare providers must now meet specific documentation standards when billing for these pediatric and nursing services to ensure proper reimbursement.

Action Required

Action needed
Immediately: Review Newsletter Vol. 12, No. 101 for specific documentation requirements for EPSDT and PDN services. Update billing team and providers on new documentation standards. Modify EMR templates and encounter forms to ensure all required documentation elements are captured before claim submission.

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