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MedicaidReimbursementMedium impact

Newsletter Vol. 6, No. 36

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

Summary

The hourly weekend rate for Personal Care Assistant (PCA) services has been changed. This affects billing for PCA services provided during weekend hours and will impact reimbursement calculations.

Action Required

Action needed
Immediately: Billing team must update PCA weekend hourly rates in billing system to reflect the new rate structure. Review all pending weekend PCA service claims to ensure proper rate application. Contact billing software vendor if rate tables need manual updates.

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