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New Jersey MedicaidMedicaid · Billing Codes · Provider Notice · NJ · Pediatrics, Family Medicine, General PracticeMedium impact

Newsletter Vol. 10, No. 70

Act
by Sep 1, 2000
Effective date
Sep 1, 2000
Identified
Jun 20, 2026

Summary

This is a corrective notice for EPSDT/HealthStart incentive payment procedure codes issued by New Jersey's Division of Medical Assistance & Health Services. The policy corrects age requirement schedules for pediatric screening examinations that became effective September 1, 2000. Billing teams must replace page 3 of the August 2000 newsletter with the corrected HCPCS code schedule provided in this correction notice.

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What to do

by Sep 1, 2000 · 5 steps
01Billing team must locate Newsletter Vol.
0210 No. 64 (August 2000) in policy manuals and discard page 3 containing the outdated EPSDT/HealthStart HCPCS procedure codes schedule.
03Insert the corrected attachment from this Newsletter Vol.
0410 No. 70 in its place, organized behind the blue Tab 5 marked 'Newsletter Tab.' Update any billing system logic or documentation that references the previous age requirement schedule for codes W9060-W9068 and W9820.
05Verify that all EPSDT screening examinations billed on or after September 1, 2000 use the corrected age categories.
If missed: Failure to update may result in claim denials or overpayments if incorrect age-based codes are applied.

Codes mentioned

W9060W9061W9062W9063W9064W9065W9066W9067W9068W9820

Original notice

Newsletter Vol. 10, No. 70
njmmis.com · Always check the source before changing claims.
View original ↗

Related changes

See all New Jersey Medicaid changes →
Newsletter Vol. 14, No. 08HighEffective Feb 1, 2004 · Provider NoticeNewsletter Vol. 14, No. 53HighEffective Jan 1, 2004 · Provider NoticeNewsletter Vol. 10, No. 01MediumNo effective date · CodingNewsletter Vol. 10, No. 02HighEffective Oct 1, 1999 · CodingBrowse every New Jersey Medicaid change in the policy list

Related policy hubs

New Jersey Medicaid policiesNJ policy changesPediatricsFamily MedicineGeneral PracticeCode W9060Code W9061Code W9062Code W9063Code W9064Code W9065Code W9066Code W9067Code W9068Code W9820

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