All PlansReimbursementMedium impact

Newsletter Vol. 2, No. 08

Q: Who is affected by this change?

This affects New Jersey Medicaid Orthopedics, PM&R (Physical Medicine & Rehab), Physical Therapy, Wound Care providers in NJ on All Plans plans.

New Jersey Medicaid·NJ · Orthopedics, PM&R (Physical Medicine & Rehab), Physical Therapy +1 more·Coding

Effective date

Not stated

We identified it

Jun 20, 2026

Days to comply

—

Summary

New HCPCS procedure codes and interim maximum fee allowance schedule for durable medical equipment and medical supplies have been published, along with updated billing instructions for these items.

Action Required

Action needed

Immediately: Billing team must download and review the complete policy document from the provided URL to identify specific HCPCS codes and fee schedule changes. Update billing software with new fee allowances for DME and medical supplies. Review and implement any clarified billing instructions for affected equipment and supplies.

Related policy hubs

New Jersey Medicaid policies NJ policy changes Orthopedics PM&R (Physical Medicine & Rehab)Physical Therapy Wound Care