MedicaidReimbursementLow impact
Newsletter Vol. 3, No. 11
New Jersey Medicaid·NJ·Reimbursement
Effective date
Jan 1, 2025
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid has established a statewide weighted average per diem rate for nursing facility level of care for hospitalized Medicaid recipients awaiting nursing home placement. This administrative patient day rate applies only to hospitals using DRG reimbursement methodology.
Action Required
Immediately: New Jersey hospitals using DRG reimbursement methodology must apply the new statewide weighted average per diem rate for patients requiring nursing facility level of care who are awaiting placement. Update billing systems to use the correct administrative patient day rate for these specific cases. Contact Felix Almanzor at the Bureau of Institutional and Provider Reimbursement for questions.