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MedicaidAdministrativeMedium impact

Medicaid Alert - MA-1992-21

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

Summary

New Jersey Medicaid has issued guidance regarding the use of Form MC-19 (9/91) for reporting and claiming EPSDT/HealthStart screening and related procedures. This affects pediatric preventive care billing and claim submission processes for Medicaid patients.

Action Required

Action needed
Immediately: Billing team must review Form MC-19 (9/91) requirements for EPSDT/HealthStart screening procedures. Ensure proper use of this form for reporting and claiming pediatric preventive services for New Jersey Medicaid patients. Download the complete policy document from the NJ MMIS portal to understand specific form usage requirements.

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