MedicaidAdministrativeMedium impact

Medicaid Alert - MA-1992-04

Q: Who is affected by this change?

This affects New Jersey Medicaid Family Medicine, Internal Medicine, Pediatrics, Geriatrics providers in NJ on Medicaid plans.

New Jersey Medicaid·NJ · Family Medicine, Internal Medicine, Pediatrics +1 more·Coding

Effective date

Not stated

We identified it

Jun 20, 2026

Days to comply

—

Summary

New Medicaid billing instructions have been issued for Private Duty Nursing Services in home and community-based waiver programs. This policy provides updated guidance on how to properly bill for these nursing services under Medicaid programs.

Action Required

Action needed

Immediately: Billing team should download and review the complete policy document from the NJ MMIS website to understand specific billing requirements for Private Duty Nursing Services. Update billing procedures and staff training materials to reflect any new requirements for home and community-based waiver program claims.

Related policy hubs

New Jersey Medicaid policies NJ policy changes Family Medicine Internal Medicine Pediatrics Geriatrics