MedicaidAdministrativeLow impact
Newsletter Vol. 11, No. 03
New Jersey Medicaid·NJ·Provider Notice
Effective date
Jan 15, 2001
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid/KidCare/FamilyCare and PAAD pharmacy providers must submit Form FD-70 Pharmacy Provider Certification Statement along with a copy of their valid pharmacy permit by January 15, 2001 to qualify for dispensing fee increments.
Action Required
By January 15, 2001: New Jersey pharmacy providers must complete and submit Form FD-70 Pharmacy Provider Certification Statement with attached copy of valid pharmacy permit to Unisys at P.O. Box 4804, Trenton, NJ 08650-4804. Failure to submit will result in basic dispensing fee category without qualifying increments.