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Newsletter Vol. 1, No. 6

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

Summary

New policy updates for Early and Periodic Screening, Diagnosis and Treatment (EPSDT) and Pediatric HealthStart programs introduce new screening requirements, a new claim form MC-19 dated 9/91, and updated procedure codes with fee schedule changes for pediatric screening exams.

Action Required

Action needed
Immediately: Billing team must obtain and implement new claim form MC-19 (9/91) for EPSDT and Pediatric HealthStart screening claims. Update billing software with new procedure codes and fee schedule for pediatric screening exams. Review and comply with updated screening requirements. Access full policy document at provided URL for complete code list and implementation details.

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