MedicaidAdministrativeMedium impact
Medicaid Alert - MA-2002-01
New Jersey Medicaid·NJ · Psychiatry·Medical Policy
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid has updated HCFA 1500 form completion requirements for Children's System of Care Initiative (CSOCI) mental health services. Billing teams must now use different coverage indicators in form locator '1' based on whether the child has dual Medicaid/CSOCI enrollment or CSOCI-only enrollment.
Action Required
Immediately: Billing team must update HCFA 1500 form completion procedures for CSOCI mental health rehabilitation services. Mark 'Medicaid' box in form locator '1' for dual Medicaid/NJ FamilyCare + CSOCI enrolled children (who have both cards with regular 12-digit numbers). Mark 'Other' box for CSOCI-only enrolled children (who have only CSOCI card with 12-digit number beginning with '3560'). Train staff to identify card types and update billing software rules accordingly.