MedicaidReimbursementMedium impact
Newsletter Vol. 4, No. 8
New Jersey Medicaid·NJ·Provider Notice
We identified it
Jun 20, 2026
Summary
Federal Medicaid has removed certain items from their Maximum Allowable Cost (MAC) list, meaning these items no longer have federally established pricing limits. This affects how Medicaid reimburses for specific drugs or medical items that were previously subject to MAC pricing controls.
Action Required
Review the complete policy document at the provided URL to identify specific deleted MAC items. Update billing system pricing expectations for any affected drugs or supplies your practice uses. Verify current Medicaid reimbursement rates for these items as they may now be subject to different pricing methodology.