MedicaidReimbursementMedium impact
Newsletter Vol. 10, No. 63
New Jersey Medicaid·NJ·Reimbursement
Effective date
Aug 1, 2000
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid increased maximum allowable fees for case management services effective August 1, 2000 for three waiver programs: Model Waivers 1/2/3 ($115.00), ACCAP ($125.00), and TBI Waiver ($135.00). Billing teams must update fee schedules and billing systems to reflect these new maximum rates for claims with service dates on or after August 1, 2000.
Action Required
By August 1, 2000: Billing team must update the fee schedule in the billing system to reflect new maximum allowable rates for procedure codes Z1700 ($115.00), Z1800 ($125.00), and Y7434 ($135.00). Update claim submission rules to ensure claims for Model Waiver 1/2/3, ACCAP, and TBI case management services submitted on or after August 1, 2000 reflect the increased rates. Verify that all future claims for these three waiver programs use the updated fee allowances. Providers billing above these maximums will experience reduced reimbursement.