MedicaidAdministrativeMedium impact
Newsletter Vol. 2, No. 51
New Jersey Medicaid·NJ · Family Medicine, Internal Medicine, Geriatrics +1 more·Provider Notice
We identified it
Jun 20, 2026
Summary
This policy reminds healthcare providers that influenza immunization is a covered service under Medicaid, particularly emphasizing vaccination in nursing facilities and long-term care settings. It clarifies billing procedures for vaccine administration in institutional settings where facility staff, not physicians, typically administer the injections.
Action Required
Contact the Pharmaceutical Consultant in your local Medicaid District Office to review proper procedures for obtaining and billing vaccines used in long-term care settings. Ensure billing staff understand that physicians who order immunizations in healthcare facilities cannot bill for administration when facility staff perform the injection.