MedicaidCoverageMedium impact
Newsletter Vol. 9, No. 38
New Jersey Medicaid·NJ·Provider Notice
We identified it
Jun 20, 2026
Summary
This policy provides supplemental updates to the list of practitioner-administered drugs that are approved for coverage, building on guidance originally distributed in April 1999. The updates likely add new drugs or modify existing coverage criteria for medications administered in provider offices.
Action Required
Immediately: Billing team should download and review the full policy document at https://www.njmmis.com/documentDownload.aspx?document=9-38.pdf to identify specific drug coverage changes. Update billing software and encounter forms with any new covered drugs or modified coverage criteria. Verify current practitioner-administered drug claims align with updated approved list.