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New Jersey MedicaidMedicaid · Administrative · Provider Notice · NJHigh impact

Newsletter Vol. 7, No. 69

Act
by Jan 1, 1998
Effective date
Jan 1, 1998
Identified
Jun 20, 2026

Summary

New Jersey Medicaid requires all DME providers to post a $50,000 surety bond and complete ownership disclosure forms by January 1, 1998. Claims for DME services will be denied if providers are not bonded.

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What to do

by Jan 1, 1998 · 3 steps
01DME providers must submit original $50,000 surety bond naming 'State of New Jersey, Department of Human Services' as obligee, complete HCFA-1513 ownership disclosure form, and complete FD-394 Additional Surety Bond Information form.
02Send all documents by certified mail to UNISYS Provider Enrollment Unit.
03Bond must be renewed annually.
If missed: Failure to comply will result in claim denials and potential recovery of past payments.

Original notice

Newsletter Vol. 7, No. 69
njmmis.com · Always check the source before changing claims.
View original ↗

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