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Newsletter Vol. 1, No. 05

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

Summary

New policy restricts billing to only Certified HealthStart Providers. This appears to be a credentialing or provider network requirement that may limit which providers can submit claims for certain services or to specific payers.

Action Required

Action needed
Immediately: Verify all current providers have Certified HealthStart Provider status. Contact credentialing team to obtain certification for any non-certified providers. Update billing system to flag claims from non-certified providers. Review provider enrollment records to ensure compliance before submitting future claims.

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