MedicaidReimbursementMedium impact
Newsletter Vol. 3, No. 47
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, which affects reimbursement rates for specific drugs and supplies. Providers billing Medicaid may see changes in payment amounts for the deleted items.
Action Required
Immediately: Review the complete MAC list deletion document at https://www.njmmis.com/documentDownload.aspx?document=3-47.pdf to identify specific affected items. Billing team should update fee schedules and verify new reimbursement rates for any deleted MAC items currently billed to Medicaid patients.