Traditional MedicareAdministrativeMedium impact
Newsletter Vol. 9, No. 35
New Jersey Medicaid·NJ·Eligibility
We identified it
Jun 20, 2026
Summary
Pharmacy providers participating in Medicaid are now required to enroll in the Medicare program. This creates a dual enrollment requirement that may affect prescription coverage and reimbursement for patients with both Medicare and Medicaid coverage.
Action Required
Immediately: Verify that your practice's preferred pharmacy partners are enrolled in both Medicaid and Medicare programs. Contact pharmacy providers to confirm dual enrollment status. Update patient counseling procedures to inform dual-eligible patients about potential pharmacy network changes. Monitor for any prescription coverage issues or claim denials related to pharmacy enrollment status.