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MedicaidBilling CodesMedium impact

CSOCI Newsletter Vol. 01, No. 02

New Jersey Medicaid·NJ · Psychiatry·Coding
Effective date
Jan 1, 2001
We identified it
Jun 20, 2026
Days to comply

Summary

New Jersey's Children's System of Care Initiative requires JCAHO accredited residential treatment centers to switch from turnaround documents to HCFA 1500 claim forms with specific HCPCS codes for mental health rehabilitation services. Claims must now be submitted directly to DMAHS through Unisys instead of DYFS.

Action Required

Action needed
For claims dated January 1, 2001 and after: Billing teams at JCAHO accredited residential treatment centers in New Jersey must stop using turnaround documents and switch to HCFA 1500 claim forms with appropriate Y-code HCPCS codes (Y9947-Y9952 depending on facility type). Submit claims directly to DMAHS through Unisys fiscal agent instead of DYFS. Include ICD-9-CM diagnosis codes on all claims. Contact Unisys Provider Services at 1-800-776-6334 for electronic billing setup.

Affected Billing Codes

Y9948
Y9951
Y9952
Y9947
Y9949
Y9950