All PlansReimbursementMedium impact
Newsletter Vol. 3, No. 13
New Jersey Medicaid·NJ·Provider Notice
We identified it
Jun 20, 2026
Summary
This policy notice announces deletions from the MAC (Maximum Allowable Cost) list, which typically affects reimbursement rates for pharmaceutical products or medical supplies. Billing teams should review their current billing practices for any items that may have been removed from coverage or had pricing changes.
Action Required
Immediately: Review the complete MAC List Deletions document at https://www.njmmis.com/documentDownload.aspx?document=3-13.pdf to identify specific items removed from coverage. Update billing system to reflect any deleted items and verify current reimbursement rates. Contact payer if clarification needed on specific products or codes affected.