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MedicaidAdministrativeMedium impact

Newsletter Vol. 9, No. 39

New Jersey Medicaid·NJ·Eligibility
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply
—

Summary

New Jersey Medicaid, General Assistance, and NJ KidCare Fee-For-Service pharmacy claims now have updated days supply requirements that billing teams must follow when processing prescription-related claims.

Action Required

Action needed
Immediately: Billing team must review and update pharmacy billing procedures to comply with new days supply requirements for Medicaid FFS, General Assistance, and NJ KidCare claims. Update billing system validation rules and staff training materials to ensure proper days supply documentation on all pharmacy claims.

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