Information for Providers & Stakeholders: Contracts, Legal Notices
Perinatal Episode of Care Pilot
NJ HCBS Spending Plan
Doula Care Benefit
Electronic Visit Verification
Important Changes to Maternity Reimbursement
Behavioral Health Outpatient Facility Billing FAQs & FQHC Behavioral Health Allowable Billing Codes
Comprehensive Waiver
NJ FamilyCare Presumptive Eligibility for Inmates
Home and Community-Based Services Settings Rule
Accountable Care Organizations
NJ FamilyCare Managed Care Contract
New Jersey FIDE SNP Model MIPPA Contract
Dual Special Needs Plan Consumer and Provider Information
Public Notices
New Jersey Medicaid State Plan
DMAHS Final Agency Decisions
Third Party Liability – Tort and Casualty Recoveries
Provider Enrollment
If you are interested in becoming a Medicaid provider, please visit www.njmmis.com for provider enrollment application information.
Personal Care Assistance Services and Assessment Tool
NJ FamilyCare State Plan services offer members, who are experiencing some degree of functional impairment, Personal Care Assistant (PCA) services to help them with aspects of daily living. PCA services are non-emergency, health-related tasks performed by qualified staff, such as certified home health aides.
The Division of Medical Assistance and Health Services' Personal Care Assistant Assessment Tool is intended to create a picture of the member who has limitations, abilities, disabilities, needs, and perhaps, some supports already in place. The PCA Assessment Tool is used by a Registered Nurse who understands that through careful observations of the member, the member's abilities and needs can be clearly defined.
New Jersey Medicaid Electronic Health Records (EHR) Incentive Program
Information about the attestation system for New Jersey's Medicaid EHR Incentive Program is available on the NJMMIS website. For general EHR Incentive Program information and details on provider eligibility, registration, and attestation, please visit http://www.nj.gov/health/njhit/ to learn more.
For help implementing an EHR and achieving meaningful use, the New Jersey Medicaid program strongly suggests that all Medicaid providers, and participating providers of Medicaid HMOs, contact and join New Jersey's Regional Extension Center (NJ-HITEC). NJ-HITEC is a not-for-profit entity funded by the federal Office of the National Coordinator to assist primary care physicians in the meaningful use of electronic health information record systems.