MedicaidAdministrativeHigh impact
Newsletter Vol. 6, No. 08
New Jersey Medicaid·NJ·Pharmacy
Effective date
Mar 1, 1996
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid and PAAD programs exclude certain individuals and entities from participation, and providers who submit claims for services rendered by excluded parties will be liable for reimbursement plus penalties. Providers must verify against the Consolidated Debarment Report before billing for any services.
Action Required
Immediately: All billing staff must review the attached Consolidated Debarment Report and supplemental exclusion list to verify no excluded individuals or entities are involved in services being billed to Medicaid/PAAD. Implement quarterly checks when updated lists are provided. Failure to comply will result in claim denials and required reimbursement with penalties.