Back to dashboard
MedicaidAdministrativeMedium impact

Newsletter Vol. 12, No. 93

New Jersey Medicaid·NJ · PM&R (Physical Medicine & Rehab), Neurology·Provider Notice
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply
—

Summary

New policy provides guidance for requesting Care Plan Reviews for waiver cases including ACCAP, TBI Waivers and Model Waivers 1, 2, 3. This affects practices that serve patients with waiver-based Medicaid services requiring care plan reviews.

Action Required

Action needed
Immediately: Review Newsletter Vol. 12, No. 93 at https://www.njmmis.com/documentDownload.aspx?document=12-93.pdf to understand new Care Plan Review request procedures for waiver cases. Billing team and case managers must update workflows for ACCAP, TBI Waivers and Model Waivers 1, 2, 3 cases to ensure proper care plan review requests are submitted when required.

Related policy hubs