MedicaidAdministrativeHigh impact
Newsletter Vol. 2, No. 16
New Jersey Medicaid·NJ·Provider Notice
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid has updated claim preparation requirements to reduce suspensions and denials. Key changes include mandatory use of 7-digit provider billing numbers, 12-digit recipient case numbers, original signatures only, proper date sequencing, and strict adherence to ICD-CM/HCPCS coding standards.
Action Required
Immediately: Billing team must update all New Jersey Medicaid claims to use 7-digit provider billing numbers (not old fiscal agent numbers), enter complete 12-digit recipient HSP/PAAD numbers, ensure original signatures only (no photocopies/stamps), verify signature dates are on or after the latest service date, use only authorized NJ Medicaid forms, and follow the billing supplement guidelines from Unisys Paramax. Update billing software validation rules to prevent claim suspensions.