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2024

Coming soon

2023

December 28, 2023: New Policy Update: Clinical Payment, Coding and Policy Changes (PDF)

 

December 18, 2023: New review process for DRG claims (PDF)

 

December 1, 2023: UM Transformation Code Additions (PDF)

 

December 1, 2023: UM Transformation Code Removal (PDF)

 

October 29, 2023: PPP Community Workgroup (PDF)

 

October 18, 2023: NJ Medicaid Family Care: Injectable Medication (PDF)

 

October 13, 2023: Generic Code Testing (PDF)

 

October 13, 2023: New Policy Update: Clinical Payment, Coding and Policy Changes (PDF)

 

October 11, 2023: New Jersey & New Jersey LTC Medicaid Notice (PDF)

 

October 9, 2023: New Policy Updates: Clinical Payment, Coding and Policy Changes (PDF)

 

October 3, 2023: Peer to Peer Availability Timeline

 

October 2, 2023: Outpatient Services Prior to Admission (PDF)

 

September 25, 2023: Urgent determinations (PDF)

 

September 1, 2023: New Jersey Taxonomy WARN to REJECT (PDF)

 

August 16, 2023: Centering Youth Mental Health (PDF)

 

August 15, 2023: DMAHS Provider Training (PDF)

 

July 17, 2023: Codes Requiring Prior Authorization (PDF)


July 17, 2023: Codes No Longer Requiring Prior Authorization (PDF)

 

June 27, 2023: Policy Update Inpatient Psychiatric Services (PDF)

 

June 14, 2023: Non-Covered Procedure Codes (PDF)

 

June 14, 2023: Prior Authorization Code Removal (PDF)

 

June 7, 2023: Developmental, Individual Difference, Relationship-Based Model (DIR) Program Overview (PDF)

 

June 5, 2023: New Policy Update - Bundled Services (PDF)

 

June 5, 2023: New Policy Update - Antepartum Fetal Surveillance (PDF)

 

June 5, 2023: New Policy Update - Anesthesia for Paint Management (PDF)

 

May 23, 2023: Medicaid Precertification Optimization (PDF)

 

March 24, 2023: HRSA Nursing-related funding opportunities (PDF)

 

March 24, 2023: New Policy Update - Clinical Payment, Coding and Policy Changes (PDF)

 

March 10, 2023: EFT/ERA Registration Services (EERS)

 

January 5, 2023: Eviti Recommended Formulary Redirection (PDF)

 

January 1, 2023: New Policy Updates - Clinical Payment, Coding and Policy Changes (PDF)

 

 

2021

December 20, 2021: PCA Rate Increase Effective 1/1/2022

 

December 17, 2021: Enhancing Editing Process from SNIP Level 2 to SNIP Level 4

 

November 23, 2021: Non-participating Provider Reimbursement Policy

 

November 12, 2021: New Prior Authorization Form Available Soon

 

September 30, 2021: Update for Peer to Peer Requests

 

July 8, 2021:  Notice to Personal Care Assistant, Assisted Living Facilities, Comprehensive Personal Care Homes, and Assisted Living Programs

 

June 2, 2021: EVV Billing Training for Aetna Better Health and Aetna Assure Premier Plus (HMO D-SNP) PCA providers and EVV technical contacts

 

February 15, 2021: Update on using your linked Aetna contract in HHAeXchange

 

January 6, 2021: Important COVID vaccine update for home care and medical day providers

 

January 5, 2021: NJ Electronic Visit Verification fact sheet

 

January 5, 2021: New state mandates effective January 1, 2021

 

December 14, 2020: Update for PCA Providers on Electronic Visit Verification

 

December 8. 2020: An Important Reminder About the Use of NPI and Taxonomy Codes

 

October 28, 2020: DHS Coronavirus Relief Fund - Reimbursement Requests are Due by Nov 13, 2020

 

October 19, 2020: Notice to Home Health, Personal Care Assisant and Nursing Facility Providers

 

September 24, 2020: Eviti Connect

 

September 18, 2020: Prenatal Risk Assessment (PRA)

 

September 10, 2020: Notice to Personal Care Assistance Providers

 

August 19, 2020: 21st Century Cures Act Re-issue

 

August 6, 2020: Notice to Personal Care Assistance Providers

 

June 19, 2020: [REMINDER] Providers must enroll with the State Medicaid Program or risk being removed from the provider network

 

June 10, 2020: NJ Human Services Commissioner Urges Medicaid & CHIP Providers to Act on Federal Funding Available to Help with COVID-19 Costs

 

June 1, 2020: COVID-19 Communications Update: Resumption of Prior Authorization/ Precertification and Admissions Protocols

 

April 1, 2020: We've updated our NJ Medicaid Regulatory Compliance Addendum 

 

July 1, 2019: New Policy Updates - Clinical Payment, Coding and Policy Changes

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