MedicaidAdministrativeHigh impact
Newsletter Vol. 3, No. 25
New Jersey Medicaid·NJ·Provider Notice
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid has implemented immediate procedures for processing credit balances discovered on hospital claims. Hospitals must void or adjust claims with credit balances within a specified number of days by submitting an Adjustment Request Form FD to Paramax Unisys (the Medicaid fiscal agent). Credit balances cannot be written off, and checks cannot be submitted for repayment to the state.
Action Required
IMMEDIATELY: Billing team must implement the following credit balance procedures for all New Jersey Medicaid claims: (1) When a credit balance is discovered, submit an Adjustment Request Form FD to Paramax Unisys within the timeframe specified in the policy; (2) Do NOT write off credit balances or submit checks for repayment to Medicaid; (3) Monitor Remittance Advice for void or adjustment activity within the stated timeframe; (4) If no activity appears on the Remittance Advice within the required days, contact Paramax Unisys Provider Services immediately to inquire about claim status. Update billing workflows and staff training to ensure all credit balances are identified and processed through the adjustment form rather than manual write-offs. Failure to comply will result in claims processing delays and potential audit findings. Contact Jeffrey O Campbell (Hospital Reimbursement Supervisor, Division of Medical Assistance and Health Services) or Paramax Unisys Provider Services with questions.