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New Jersey MedicaidMedicaid · Reimbursement · Provider Notice · NJMedium impact

Newsletter Vol. 12, No. 84

Act
immediately
Effective date
Sep 9, 2002
Identified
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.

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What to do

immediately · 2 steps
01Billing 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.
02Update 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.

Codes mentioned

90862992019920299203992049920599212992139921499215992429924399244992459927299273992749927599354993559938199382993839938499385993869938799391993929939399394993959939699397

Original notice

Newsletter Vol. 12, No. 84
njmmis.com · Always check the source before changing claims.
View original ↗

Related changes

See all New Jersey Medicaid changes →
Medicaid Alert MA2021-01HighEffective Apr 20, 2021 · CodingNewsletter Vol. 35, No.08HighEffective Jul 1, 2025 · ReimbursementNewsletter Vol. 12, No. 82HighEffective Sep 9, 2002 · Provider NoticeNewsletter Vol. 32, No.03MediumEffective Jan 1, 2022 · Provider NoticeBrowse every New Jersey Medicaid change in the policy list

Related policy hubs

New Jersey Medicaid policiesNJ policy changesCode 90862Code 99201Code 99202Code 99203Code 99204Code 99205Code 99212Code 99213Code 99214Code 99215Code 99242Code 99243Code 99244Code 99245Code 99272Code 99273Code 99274Code 99275Code 99354Code 99355Code 99381Code 99382Code 99383Code 99384Code 99385Code 99386Code 99387Code 99391Code 99392Code 99393Code 99394Code 99395Code 99396Code 99397

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