MedicaidAdministrativeMedium impact
Newsletter Vol. 10, No. 75
New Jersey Medicaid·NJ · Emergency Medicine·Provider Notice
Effective date
Sep 1, 2000
We identified it
Jun 20, 2026
Summary
New Jersey implemented a Presumptive Eligibility program for NJ FamilyCare (Medicaid) allowing certified hospitals and FQHCs to provide immediate coverage for eligible individuals while full eligibility is processed. Adult eligibility won't appear in the system until October, so providers should hold September claims and verify eligibility by calling (609) 588-2911.
Action Required
Immediately: NJ providers must complete NJ FamilyCare Presumptive Eligibility Training to become certified. For September 2000 services to presumptively eligible adults, hold claims until October for submission. Verify adult eligibility by calling (609) 588-2911 before billing. Forward completed FD-399 forms to Division of Medical Assistance immediately after determination. Convert payments to charity care if patients are ultimately determined ineligible.