MedicaidCoverageMedium impact
Newsletter Vol. 9, No. 62
New Jersey Medicaid·NJ · OB-GYN, Family Medicine·Provider Notice
Effective date
Jul 12, 1999
We identified it
Jun 20, 2026
Summary
New Jersey established the Supplementary Prenatal Care Program (NJSPCP) to provide Medicaid-covered prenatal care for legal immigrant pregnant women who are otherwise ineligible due to federal restrictions. Eligible patients receive a special card with a PE Medicaid number and red stamp limiting services to pregnancy-related care only.
Action Required
Immediately: Billing team must train staff to recognize NJSPCP cards with PE Medicaid numbers and red 'PRENATAL SERVICES ONLY' stamps. Verify eligibility via REVS/MEVS hotline 1-800-676-6562. Limit billing to pregnancy-related services only (obstetrical care, pharmaceuticals, radiology, lab services). Inform patients to contact County Board of Social Services for separate Medicaid number for labor/delivery and emergency services. Ensure newborn Medicaid enrollment is initiated immediately after delivery.