MedicaidReimbursementMedium impact
Newsletter Vol. 12, No. 84
New Jersey Medicaid·NJ·Provider Notice
Effective date
Sep 9, 2002
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid and NJ FamilyCare increased reimbursement rates for selected clinic services including office visits, consultations, and preventive care codes. The new maximum fee allowances vary by provider type (specialist vs non-specialist) and modifier used.
Action Required
Immediately: Billing team must update fee schedules in billing system with the new maximum allowable amounts for New Jersey Medicaid/NJ FamilyCare claims with service dates September 9, 2002 and after. Update rates for both specialist and non-specialist providers and ensure proper modifier usage (AV, WM, YD, YY, ZZ, ZI) as specified in the fee schedule.