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MedicaidAdministrativeMedium impact

CSOCI Newsletter Vol. 01, No. 04

New Jersey Medicaid·NJ · Psychiatry, Pediatrics·Provider Notice
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

New Jersey is implementing Care Management Organization (CMO) services as part of the Children's System of Care Initiative for children with severe emotional and behavioral disturbances. CMOs will coordinate mental health services and refer children to Medicaid/NJ FamilyCare approved fee-for-service providers, initially in Burlington, Monmouth, and Union counties.

Action Required

Action needed
Immediately: Mental health providers in Burlington, Monmouth, and Union counties must prepare to receive referrals from CMO care managers for children enrolled in CSOCI with Individual Service Plans (ISP). Billing team should verify Medicaid/NJ FamilyCare eligibility for referred children and ensure services align with approved ISP treatment plans. As CMOs expand statewide in 2002, providers in remaining NJ counties will be similarly affected.