CommercialCoverageMedium impact
Newsletter Vol. 2, No. 19
New Jersey Medicaid·NJ·Provider Notice
We identified it
Jun 20, 2026
Summary
Garden State Health Plan (GSHP) has updated its reimbursement policy for over-the-counter (OTC) drugs for their members. This policy change affects how OTC medications will be covered and reimbursed going forward.
Action Required
Immediately: Review the full policy document at https://www.njmmis.com/documentDownload.aspx?document=2-19.pdf to understand specific OTC drug coverage changes for GSHP members. Update billing procedures and patient communication protocols based on new reimbursement guidelines. Inform clinical staff of any changes to OTC drug coverage to ensure proper patient counseling.