MedicaidAdministrativeMedium impact
Newsletter Vol. 5, No. 53
New Jersey Medicaid·NJ · Psychiatry, Primary Care·Coding
We identified it
Jun 20, 2026
Summary
New time parameters and weekly billing procedures have been established for Personal Care Assistant (PCA) services, along with daily hour limitations specifically for mental health PCA providers. This affects how PCA services are billed and documented.
Action Required
Immediately: Review the complete policy document at https://www.njmmis.com/documentDownload.aspx?document=5-53.pdf to understand specific time parameters and billing procedure changes. Billing team must update PCA service billing workflows to comply with new calendar work week parameters and implement daily hour limitations for mental health PCA providers. Update billing system rules and staff training accordingly.