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MedicaidAdministrativeMedium impact

Medicaid Alert - MA-1994-12

New Jersey Medicaid·NJ·Provider Notice
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

New Jersey Medicaid has introduced a new Claim Correction Form (CCF) that providers must use for correcting previously submitted claims. This replaces any previous claim correction processes and requires billing teams to familiarize themselves with the new form requirements.

Action Required

Action needed
Immediately: Billing team must download the new Claim Correction Form (CCF) from https://www.njmmis.com/documentDownload.aspx?document=ma1994-12.pdf and update claim correction procedures. Replace any old correction forms with the new CCF for all New Jersey Medicaid claim corrections. Train staff on new form requirements and ensure billing system processes are updated accordingly.