MedicaidBilling CodesMedium impact

Newsletter Vol. 5, No. 11

Q: Who is affected by this change?

This affects New Jersey Medicaid Family Medicine, Internal Medicine, General Practice, Pediatrics providers in NJ on Medicaid plans.

New Jersey Medicaid·NJ · Family Medicine, Internal Medicine, General Practice +1 more·Coding

Effective date

Not stated

We identified it

Jun 20, 2026

Days to comply

—

Summary

New Jersey Medicaid is eliminating hourly procedure codes for Personal Care Assistant Services and implementing new monthly billing procedures with hour limitations. This affects how PCA services are coded and billed.

Action Required

Action needed

Immediately: Billing team must stop using hourly procedure codes for Personal Care Assistant Services and transition to new monthly billing procedures. Update billing system to reflect hour limitations and new monthly billing cycle requirements. Contact New Jersey Medicaid for specific implementation guidelines.

Related policy hubs

New Jersey Medicaid policies NJ policy changes Family Medicine Internal Medicine General Practice Pediatrics