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Newsletter Vol. 10, No. 44
New Jersey Medicaid·NJ · Infectious Disease, Internal Medicine, Family Medicine·Medical Policy
We identified it
Jun 20, 2026
Summary
Work First New Jersey/General Assistance has updated their coverage and reimbursement policies for HIV/AIDS medications. This affects billing and coverage determination for HIV/AIDS drug prescriptions for patients covered under New Jersey's welfare-to-work and general assistance programs.
Action Required
Review the full policy document at https://www.njmmis.com/documentDownload.aspx?document=10-44.pdf to understand specific coverage changes for HIV/AIDS medications. Billing team should verify current coverage rules and prior authorization requirements for affected patients before submitting claims.