MedicaidReimbursementMedium impact
Newsletter Vol. 5, No. 25
New Jersey Medicaid·NJ·Provider Notice
We identified it
Jun 20, 2026
Summary
Federal Medicaid Upper Payment Limits (MAC) list has been updated with deletions of certain drug products. This affects Medicaid reimbursement rates for specific medications that are no longer included in the federal pricing limits.
Action Required
Immediately: Review current Medicaid drug billing to identify any medications affected by MAC list deletions. Contact Medicaid billing team to verify reimbursement rates for affected drugs and update billing system with new pricing limits. Monitor claim processing for any reimbursement changes on deleted MAC items.