MedicaidReimbursementMedium impact
Newsletter Vol. 12, No. 82
New Jersey Medicaid·NJ·Provider Notice
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid has increased reimbursement rates for Certified Nurse Practitioner (CNP) and Clinical Nurse Specialist (CNS) services. This policy change affects billing for services provided by these mid-level practitioners in healthcare practices participating in New Jersey Medicaid.
Action Required
Billing team should review the full policy document at the provided URL to understand the specific reimbursement rate increases and effective date. Update billing system expectations for CNP/CNS service payments from New Jersey Medicaid. Verify that CNP/CNS services are being billed with appropriate provider credentials and modifiers.