All PlansAdministrativeMedium impact

Newsletter Vol. 9, No. 21

Q: Who is affected by this change?

This affects New Jersey Medicaid Family Medicine, Internal Medicine, General Practice, Geriatrics providers in NJ on All Plans plans.

New Jersey Medicaid·NJ · Family Medicine, Internal Medicine, General Practice +1 more·Provider Notice

Effective date

Not stated

We identified it

Jun 20, 2026

Days to comply

—

Summary

New requirements have been established for submitting HCFA 485 forms (Home Health Certification and Plan of Care). This policy update outlines specific submission procedures that home health providers and referring physicians must follow when certifying patients for home health services.

Action Required

Action needed

Review the complete HCFA 485 submission requirements in Newsletter Vol. 9, No. 21. Billing team should update home health certification workflows to ensure compliance with new submission procedures. Coordinate with providers who refer patients to home health services to ensure proper form completion and submission timing.

Related policy hubs

New Jersey Medicaid policies NJ policy changes Family Medicine Internal Medicine General Practice Geriatrics