MedicaidCoverageMedium impact
Newsletter Vol. 5, No. 57
New Jersey Medicaid·NJ·Provider Notice
We identified it
Jun 20, 2026
Summary
The Medically Needy Program is being expanded, which may affect eligibility criteria and billing procedures for Medicaid patients who have income above standard Medicaid limits but high medical expenses. This could impact patient eligibility verification and billing processes for practices serving Medicaid populations.
Action Required
Review the full Newsletter Vol. 5, No. 57 document at https://www.njmmis.com/documentDownload.aspx?document=5-57.pdf to understand specific changes to Medically Needy Program eligibility and requirements. Billing team should update patient eligibility verification procedures and inform front desk staff of any new qualification criteria for Medicaid coverage.