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MedicaidReimbursementMedium impact

Newsletter Vol. 10, No. 64

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

Summary

New EPSDT (Early and Periodic Screening, Diagnostic and Treatment) incentive payment program has been announced. This likely affects pediatric preventive care services and may provide additional reimbursement opportunities for qualifying services provided to Medicaid-eligible children.

Action Required

Action needed
Immediately: Download and review the full policy document from the provided URL to understand specific EPSDT incentive payment requirements, eligibility criteria, and application processes. Pediatric billing staff should identify which preventive services qualify for incentive payments and update billing procedures accordingly.

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