UnitedHealthcareMedium ImpactAdministrative
New Jersey Medicaid: Billing our members for covered services is not permitted
Published April 1, 2026
AI Summary
New Jersey Medicaid has issued a reminder that providers are prohibited from billing members directly for any covered services. This reinforces existing balance billing restrictions for NJ Medicaid members.
Action Required
Immediately: Billing team must verify all NJ Medicaid claims are submitted to the plan and never billed directly to patients for covered services. Review current billing practices to ensure no balance billing occurs for NJ Medicaid members. Update staff training on Medicaid billing restrictions to prevent compliance violations.
Plan Types
Medicaid
States
NJ
Specialties
all-specialties