All PlansAdministrativeMedium impact
Newsletter Vol. 11, No. 17
New Jersey Medicaid·NJ·Provider Notice
We identified it
Jun 20, 2026
Summary
This policy update addresses third party liability payments, which typically involves coordination of benefits when patients have multiple insurance sources or when accidents/injuries may be covered by other parties (auto insurance, workers' comp, etc.). The billing team should review procedures for identifying and billing third party liable cases.
Action Required
Billing team should review the full policy document at the provided URL to understand specific changes to third party liability payment procedures. Update coordination of benefits workflows and ensure staff are trained on identifying cases where third party liability may apply, such as auto accidents or work-related injuries.