Who is affected by this change?

This affects New Jersey Medicaid Family Medicine, OB-GYN providers in NJ on All Plans plans.

When does this change take effect?

This change is effective Jul 1, 2024.

Which billing codes are affected?

The following codes are affected: W3077, W3078, W3079.

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All PlansReimbursementMedium impact

Newsletter Vol. 5, No. 46

New Jersey Medicaid·NJ · Family Medicine, OB-GYN·Coding

Effective date

Jul 1, 2024

We identified it

Jun 20, 2026

Days to comply

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Summary

Six HCPCS codes for family planning clinic visits will receive revised reimbursement rates effective July 1st. The new rates align with reimbursement for other clinic visit services at family planning clinics.

Action Required

Action needed

By July 1, 2024: Billing teams at family planning clinics must update fee schedules and billing systems to reflect new reimbursement rates for HCPCS codes W3077, W3077-WM, W3078, W3078-WM, W3079, and W3079-WM. Verify that claims submitted on or after July 1st use the revised rates. Contact Constance Thomas at the Bureau of Policy if questions arise.

Affected Billing Codes

W3077

W3078

W3079

Related policy hubs

New Jersey Medicaid policies NJ policy changes Family Medicine OB-GYN Code W3077 Code W3078 Code W3079