MedicaidAdministrativeMedium impact
Newsletter Vol. 2, No. 33
New Jersey Medicaid·NJ·Coding
We identified it
Jun 20, 2026
Summary
New billing procedure for MMIS Claim Adjustment Form (FD) when provider costs exceed assigned Medicaid fee allowances. Providers must complete the FD form with specific modifier requirements and attach invoices/price lists for consideration of payment adjustments.
Action Required
Immediately: When provider costs exceed Medicaid fee allowances, billing team must complete MMIS Claim Adjustment Request Form (FD) following Fiscal Agent Billing Supplement instructions. Add required modifier to end of HCPCS procedure code for adjustment requests. Attach respective invoices or price lists to form when submitting to Paramax Unisys. Failure to add modifier will result in no action on adjustment request.