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MedicaidReimbursementMedium impact

Newsletter Vol. 3, No. 15

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

Summary

This policy notice announces deletions from the MAC (Maximum Allowable Cost) list, which typically affects reimbursement rates for pharmaceutical products or medical supplies. The deletions indicate certain items will no longer have established maximum reimbursement limits.

Action Required

Action needed
Immediately: Billing team should review the MAC List Deletions document at https://www.njmmis.com/documentDownload.aspx?document=3-15.pdf to identify specific deleted items. Update billing system to reflect any reimbursement changes for affected pharmaceutical or supply items. Contact payer for current reimbursement rates on deleted MAC items.