A to Z, Division of Medical Assistance and Health Services Home, Consumers & Clients - Individuals & Families, Lead Poisoning Prevention Resource Materials, Healthcare Needs Provided for by NJ Medicaid, Information for Providers & Stakeholders: Contracts, Legal Notices, Public Advisory Boards, Commissions & Councils, Division of Medical Assistance and Health Services, People who are 65 years of age or older, blind, or permanently disabled, Medical Emergency Payment Program for Aliens, NJCEED - New Jersey Cancer Education and Early Detection Program, Home and Community-Based Programs for seniors, Contact 3urfhgxuh &rgh 0rglilhu 6huylfh 'hvfulswlrq %loolqj 8qlw 5dwh /lplwdwlrq &5 fdq eh eloohg *7 &5 fdq eh eloohg *7 fdq eh eloohg 8 rxwsw frqvxow plqru sk\v wlph dssur[ plq 3hu hyhqw %loo zlwk olfhqvh Aetna Better Health of New Jersey part of Aetna, one of the nation's leading health care providers and a part of the CVS Health family. We have posted resources related to the upcoming changes on Secure websites use HTTPS certificates. Use SHIFT+ENTER to open the menu (new window). N/A. John's current position is Director, Government Programs, at Avesis. Promulgated Fee Schedule 2022. Fee Schedule. This comprehensive listing of fee maximums is used to reimburse a physician and/or other providers on a fee-for-service basis. . $84.56/visit. However, the State-funded program is the payer of last resort; as such, if a service is Medicaid-eligible or reimbursable by other means, it will be reimbursed by those external sources of payment first. Professional Fee Schedule updates effective March 1, 2022 - AmeriHealth New Jersey. Reimbursement Policy: Horizon fee schedule updates based on third party sources Effective Date: January 1, 2022 Purpose: To provide a reasonable timeframe to implement new pricing changes and minimize claim adjustments Scope: All products are included, except terms and conditions contained in this agreement. to or related to any use, non-use or interpretation of information contained or The new website offers enhanced search options for fee schedules, covered procedure codes and covered revenue code data. It looks like your browser does not have JavaScript enabled. <>stream Magellan Healthcare, Inc. manages mental health and substance abuse benefits for most AmeriHealth members. - Individuals and Families, Important ~OFJf-I7_L+UU;+[7VHdM*07`A4~;\''Rpt-p]2go=tf;!P ;8ko;;Nlq.dUmVrm,]NpeGTDIZ0^T'GNe.g3Xs^ivh}I}x~fu4{-ES/X_wDCE#MhJJ-Bra94L**cABy&vn9 /xMs"RxTOLl>asO #3{Jn@! The fee displayed is the allowable rate for this service. These programs pay for hospital services, doctor visits, prescriptions, nursing home care and other healthcare needs, depending on what program a person is eligible for. This fee . A fee schedule is a complete listing of fees used by Medicare to pay doctors or other providers/suppliers. 2022-2023 Medicaid Managed Care Rate Development Guide. These enhancements include: Communications may be issued by Horizon Blue Cross Blue Shield of New Jersey in its capacity as administrator of programs and provider relations for all its companies. Fee schedules with an asterisk (*) denote rate floors. Please note that the full fee schedule listing contains over 10,000 codes across all specialties in the Horizon Blue Cross Blue Shield of New Jersey Networks and therefore, we recommend that you request the codes for your individual . Collectively, the rates updates are positive for the provider network. Fee Schedule Downloadable Information . Aetna AMERIGROUP NJ Horizon NJ HealthUnitedHealthcare Community PlanWellCareThrough managed care, New Jersey beneficiaries have better access to healthcare providers and care coordination than they would have through Medicaid's traditional fee-for-service program. In 1995, New Jersey began moving Medicaid beneficiaries from a traditional fee-for-service health coverage program, where providers bill Medicaid directly, to managed care. Medicare Advantage: 1-866-805-4589 Updated Pricing for codes 0596T & 0597T effective February 7, 2022. Dental Fee Schedule. Effective March 1, 2022, AmeriHealth HMO, Inc., and its affiliates (AmeriHealth) will adjust the base reimbursement rate for primary care physicians (PCP) and specialists who provide services to our members. All rights reserved. Out-of-State Medicaid Claims for Blue CrossBlue Shield Association Plans (PDF File) Get To schedule a screening or for more information, call us at 1-877-453-4080 (TTY 711), and press 1. copyright 2015 American Medical Association. In 1995, New Jersey began moving Medicaid beneficiaries from a traditional fee-for-service health coverage program, where providers bill Medicaid directly, to managed care. A fee schedule is a complete listing of fees used by Medicare to pay doctors or other providers/suppliers. Please review the User Guide for additional information on navigating the new site. Starting on March 1, 2022, you can find the rate for a specific code using the Allowance Finder transaction in the PEAR Practice Management (PM) application on the Provider Engagement, Analytics & Reporting (PEAR) Updated Fee Schedule July 2022. and fitness for a particular purpose. . We must ensure that home- and community-based BH service providers are financially stable in order to be able to continue providing services to those who need them the most. Each health plan is rated based on the quality of care their members receive (HEDIS), how happy enrollees are with their care (CAHPS), and health plans efforts to keep improving (NCQA Accreditation standards). CPT is a registered Includes but is not limited to: Physicians, lab and x-rays, chiropractic, dental (child & adult), ambulance . and AmeriHealth Insurance Company of New Jersey (collectively, AmeriHealth New Jersey) will adjust the base reimbursement rate for primary care physicians (PCP) and specialists who provide services to our members. Click here to view the provider enrollment requirements for states where BCBS Plans offer Medicaid products. The impact to each physician will depend on the most commonly billed CPT codes by specialty. The AMA, ADA and CMS disclaim responsibility for any consequences or liability attributable CPT and CDT are provided as is without warranty of any kind, either expressed Products and services are provided by Horizon Blue Cross Blue Shield of New Jersey, Horizon Insurance Company, Horizon Healthcare of New Jersey, and/or Horizon Healthcare Dental, Inc., each an independent licensee of the Blue Cross . This page contains billing guides, fee schedules, and additional billing materials to help providers find the codes they need to submit prior authorization (PA) . 08/29/2022. Providers should always include their National Provider Identifier (NPI) on Medicaid claims, unless the provider is considered atypical. ( The license granted herein is expressly conditioned upon your acceptance of all PEAR PM: If you have questions about these changes, please email us prvrequests@amerihealth.com with the subject line Professional Fee Schedule updates. Prior authorization is required. Help & Information, Press The rate for behavior technician services under the ABA benefit was $11.20 per 15-minute increment ($44.80/hour) and is now $15 per 15-minute increment ($60/hour). Services A to Z, Consumers & Clients Fee-for-service reimbursement was implemented for several reasons. December 1, 2021 . Medicaid providers will now use the Provider Services Solution (PRSS) to complete enrollment and maintenance processes. After expiring on July 31, 2017, the New Jersey Medicaid waiver was renewed through June 2022.3 The Centers for Medicare and Medicaid Services (CMS) recently approved a temporary extension of the waiver through December 2022.3, As part of the agreement between the State of New Jersey and CMS, treatment for behavioral health (BH) conditions has been carved-out, or separated from payment for medical services.2 The State contracts directly with Behavioral Health Organizations (BHOs), or Managed Behavioral Health Organizations (MBHOs) to reimburse BH care provided in traditional healthcare settings (i.e., hospitals and clinics).3 In NJ, BHOs are also responsible for providing additional services, including 24/7 call centers, care coordination, care management, and utilization management.3 They are contracted to operate on a non-risk basis (i.e., they bear no financial risk if the cost of care of patients exceeds the money supplied by Medicaid) as Administrative Service Organizations.3, Alternatively, certain community- and home-based BH services are reimbursed on a unit-by-unit basis through fee-for-service (FFS). You agree to take all necessary steps to insure that you, your employees, organization and agents abide by the terms of this agreement. Please turn on JavaScript and try again. lock Assistive Care Services Fee Schedule. This category of waivers allows states to provide . CMS issued a CY 2023 Medicare Physician Fee Schedule (PFS) final rule to expand access to behavioral health care, cancer screening coverage, and dental care. Behavior Analysis Fee Schedule. trademark of the American Medical Association (AMA). . 08/29/2022 July 2022 Elderly and Physically Disabled - Big Sky Waiver Fee Schedule Excel Rev. Unclear if Medicaid home heath, and other home . (New code only) 10/1/2022. Exclusive National Lab Provider (NJ Only), If your organization is not yet registered for PEAR, visit. other data contained here are Copyright 2015 American Dental Association (ADA). You should enroll in that states Medicaid program before submitting the claim. Medicaid: 1-800-454-3730. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. All rights reserved. Medicaid provides health insurance to parents/caretakers and dependent children, pregnant women, and people who are aged, blind or disabled. (PDF File), New Jersey FIDE SNP Model MIPPA Contract (PDF File). 2 0 obj All rights reserved. Involved with DHS! March 1, 2022, AmeriHealth HMO, Inc., and AmeriHealth Insurance Company of New Jersey (collectively, AmeriHealth New Jersey) will adjust the base reimbursement rate for primary care physicians (PCP) and specialists who provide services to our members. care rates, are included. Effective October 19, 2022. Effective Date. The NYS Department of Health (DOH) amended this fee to . The Department is allowing coverage of the COVID-19 booster vaccine (code 0044A) for immunocompromised workers who reside in a nursing home, group home, or skilled nursing facility, or receiving home health at home. . Involved with DHS! ND Medicaid Rehab Services Fee Schedule; ND Medicaid Substance Use Disorder Treatment Services Fee Schedule; ND Medicaid Swing Bed Fee Schedule (4/1/2022) ND Medicaid Vaccine Fee Schedule (8/1/2022) (Revised) Medicaid Basic Fee Schedule. ICMS include, but are not limited to assessment, service planning, service linkage, ongoing monitoring, ongoing clinical support and advocacy with the goal of enabling patients independence and integrating them into society at large.4 However, if a patient receiving this service is incarcerated or hospitalized, that service is reimbursed via FFS.4 In addition, a program can request reimbursement for services rendered to an individual who was not enrolled in ICMS prior to admission or incarceration.4, Other services that are strictly reimbursed via FFS include: 1) Programs of Assertive Community Treatment (PACT), in which patients receive intensive treatment at home; 2) Supported Employment, which allows providers to identify vocational interests and create a job search plan for those with severe mental illness; 3) Supported Education, which assists patients in their educational pursuits; and 4) Community Support Services, which allow patients to attain the skills necessary to achieve and maintain their valued life roles in employment, education, housing, and social environments.4 All of New Jerseys mental health FFS offerings are home- and community-based and address socioeconomic barriers that limit the advancement of patients with behavioral health issues.4. The Henry J. Kaiser Family Foundation Headquarters: 185 Berry St., Suite 2000, San Francisco, CA 94107 | Phone 650-854-9400 Washington Offices and Barbara Jordan Conference Center: 1330 G Street . Collectively, the rates updates are positive for the provider network. These rates do not apply to services provided to out-of-state Medicaid members. We have posted resources related to the upcoming changes on Home, DHS Because it is state funded, it is limited to yearly appropriations. <> All fee schedule data created prior to Nov. 3, 2022, will remain on the current NC Medicaid website. The 2023 Administrative Guide for Commercial, Medicare Advantage and DSNP is applicable to all states except North Carolina. state.nj.us/humanservices/dmahs/info/resources/macc/. Medical Laboratory Fee Schedule 2023 (Excel) Effective February 1, 2023; Medical Laboratory Fee Schedule 2022 (PDF) Effective March 1, 2022 updated 9/1/2022; Medical Laboratory Fee Schedule 2022 (Excel) Effective March 1, 2022 updated 9/1/2022 Medical Laboratory Fee Schedule 2021 (PDF) Effective February 1, 2021 Resources. It looks like your browser does not have JavaScript enabled. In other cases, a state Medicaid program will accept a providers Medicaid enrollment in the state where the provider practices. Note: This information does not apply to providers contracted with Magellan Healthcare, Inc. CPT Copyright 2017 American Medical Association. Practitioner Fee Schedule Effective 12/31/2022 Updated 01/12/2023 (xls) (pdf) Practitioner Fee Schedule Effective 10/01/2022 Updated 12/01/2022 (xls) Practitioner Fee Schedule Effective 08/01/2022 Updated 10/31/2022 (xls) Practitioner Fee Schedule Effective 07/01/2022 Updated 08/25/2022 (xls) Modifier Listing Updated 08/11/2022 (xls) The complete notice for MAR 37-1018 is found on the Montana Administrative Register.The Montana Administrative Register should be viewed at rules.mt.gov by searching for 37-1018 within the 'Search By Notice No.' section.. Under managed care, beneficiaries enroll in a health plan or managed care organization (MCO) which coordinates their members' healthcare and offers special services in addition to the regular NJ FamilyCare Medicaid benefits enrollees receive.Five health plans (also known as MCOs) participate in New Jersey's NJ FamilyCare Medicaid program. Managed care health plans are also able to provide a comprehensive package of preventive health services that, combined with the full range of Medicaid benefits, allows for the best healthcare possible.The public is invited to view the current NJ FamilyCare Managed Care Contract. AC D E F G H I L N O P R T U-Z. When billing for a Medicaid member, please remember to check the Medicaid website of the state where the member resides for information on Medicaid billing requirements. You can also get information by visiting NJHelps.org, where you can self-screen for eligibility for NJ FamilyCare/Medicaid . Heres how you know. Effective Procedure codes can be found on the Pharmacy Fee Schedule. Zipped Medicaid Policy Manuals 2019 - 2nd Quarter - Fee Schedules: ZIP: 3580.1: 04/01/2019 : Zipped Fee Schedules - 2018: ZIP: 17250.6: 12/31/2018 : Webinar: PT/OT Burnout Resilience & Balance. New Taxonomy Tips. %PDF-1.5 This content was prepared for the Provider News Center and may not be reproduced in any way without the express written permission of AmeriHealth, AmeriHealth HMO, Inc., AmeriHealth Insurance Company of New Jersey. You, your employees, the organization you have the authority to represent and it April 2022 Introduction The Centers for Medicare & Medicaid Services (CMS) is releasing the 2022-2023 Medicaid Managed Care Rate Development Guide for use in setting rates for rating periods starting between July 1, 2022, and June 30, 2023 for managed care programs subject to the actuarial soundness requirements in 42 C.F.R. These enhancements include: Please review the User Guide for additional information on navigating the new Fee Schedule and Covered Code Portal. Make sure to include the practice name, NPI number, and your contact information. Effective Nov. 3, 2022, all updates to the NC Medicaid Fee Schedules are located in the Fee Schedule and Covered Code site. Please enable scripts and reload this page. Please contact the EDI Unit at 609-588-6051 between the hours of 8-5 Monday through Friday or send email to NJMMISEDI@gainwelltechnologies.com if EDI issues are encountered. 4/1/2022. Pre-Certification/Prior Authorization requirements for Post-Acute Facility Admissions, Submitting Pharmacy Claims for OTC, At-Home COVID-19 Test Kits, Submitting Pharmacy Claims for COVID-19 Vaccinations, Antibody testing: FDA and CDC do not recommend use to determine immunity, Reminder: Use correct codes when evaluating for COVID-19, Submitting claims for COVID-19 vaccines delivered in non-traditional medical settings, For Essential Workers, COVID-19 Treatment Covered Under Workers' Compensation Benefits, COVID-19 vaccines will be covered at 100%, Reminder: Horizon NJ Health members are not responsible for PPE charges, Reminder to use specific codes when evaluating for COVID-19, Referrals no longer required for in-network specialists, Telemedicine and Telehealth Services Reimbursement Policy, Credentialing and Recredentialing Responsibilities, Credentialing and Recredentialing Policy for Participating Physicians and Healthcare Professionals, Credentialing and Recredentialing Policy for Ancillary and Managed Long Term Support Service (MLTSS) Providers, Federally Qualified Health Center (FQHC) Resource Guide, How to Submit Claims with Drug-Related (J or Q) Codes, How to Correctly Submit Claims with J or Q Codes, Federally Qualified Health Center (FQHC) - Dental Billing Guide, DAVIS VISION Federally Qualified Health Center (FQHC) Vision Billing Guide, Early and Periodic Screening, Diagnosis and Treatment Exam Forms, OBAT Attestation for Nonparticipating Providers, Laboratory Corporation of America (LabCorp), Medicaid Provider Enrollment Requirements by State, Managed Long Term Services & Supports (MLTSS) Orientation, Section 4 - Care Management/Authorizations, Section 6 - Grievance and Appeals Process, Appointment Availability Access Standards for Primary Care-Type Providers, Ob/Gyns, Specialists and Behavioral Health Providers, Provider Telephone Access Standards Policy Requirements, Add-on Payment for COVID-19 Diagnostic Testing Run on High Throughput Technology (U0005), Bariatric Surgery Billed With Hiatal Hernia Repair or Gastropexy, Care Management Services for Substance Use Disorders, Chiropractic Manipulation Diagnosis Policy, Daily Maximum Units for Surgical Pathology and Microscopic Examination, Distinct Procedural Service Modifiers (59, XE, XP, XS, XU), Endoscopic Retrograde Cholangiopancreatography (ERCP), Evaluation and Management Services billed with Global Radiology, Stress Test, Stress Echo or Myocardial Profusion Imaging, FIDE-SNP Hospital Sequestration Reimbursement, Home Health Certification and Re-Certification, Maximum Units Policy on Hearing Aid Batteries, Modifier 22 Increased Procedural Services, Modifier 73 - Discontinued Outpatient Procedure Prior to the Administration of Anesthesia, Modifier 76- Repeat Procedure or Service by Same Physician, Modifier 77- Repeat Procedure or Service by Another Physician, Modifiers 80, 81, 82 and AS Assistant Surgeon, Multiple Diagnostic Cardiovascular Procedures, Multiple Diagnostic Ophthalmology Procedures, Mutually and Non-Mutually Exclusive NCCI Edits, Outpatient Facility Code Edits: Revenue Codes, Outpatient Services Prior to Admission or Same Day Surgery, Post Payment Documentation Requests for Facility Claims, Pre-Payment Coding Reviews Documentation Requests, Pre-Payment Documentation Requests for Facility Claims, Preventative Medicine Services with Auditory Screening, Pulmonary Diagnostic Procedures when billed with Evaluation and Management Codes, Self-Help/Peer Support Billing Guidelines, Split Surgical Services (Modifiers -54, -55 and -56), Telemedicine Reimbursement Policy: Temporary Update, Health Services Policies Clinical Affairs, Dental, Pharmacy, Quality, Utilization Management, State of New Jersey Contractual Requirements, Surgical and Implantable Device Management Program, Electronic Data Interchange (EDI)/Electronic Funds Transfer (EFT), Emdeon Electronic Funds Transfer (EFT) Forms, Utilization Management Appeal Process for Administrative Denials, NJ FamilyCare Dental Services Clinical Criteria Policy (effective January 1, 2023), Role of the Managed Care Organization (MCO), Disease Management Programs to Help Your Patients, Contrast Agents and Radiopharmaceuticals Medicaid 2022, Contrast Agents and Radiopharmaceuticals 2023, About the Horizon Behavioral Health Program, New Jersey Integrated Care for Kids (NJ InCK), Office Based Addiction Treatment (OBAT) Program, Helpful Hints for Office Based Addiction Treatment (OBAT) Claims Submissions, Office Based Addictions Treatment - Frequently Asked Questions, CAHPS (Consumer Assessment of Healthcare Providers and Systems), Hospital Acquired Conditions and Serious Adverse Events, Physicians and Other Health Care Professionals, Out-of-State Medicaid Claims for Blue CrossBlue Shield Association Plans. Current Procedural Terminology (CPT) codes, descriptions and other data only are Are you sure you want to leave this website? The fee schedule will be published on the Department's fiscal agent's website at https://www.njmmis.com under "rate and code information" when available. Ambulance Services Fee Schedule. Services xr6*9,xJz8vvZ&hp6-{n HgqHvDY(z<8(?vwJV_EQ9(;?|Y.X)tjwVioNyhq5ovw~}(gwi=n|7kg0?g=x;BZjCC*NED7NB7i`cp A to Z. You will receive a response within five business days. See the below for the following updates: Updated Pricing for codes G0339, G0340, 0275T, 0598T & 0599T effective January 1, 2022. .gov Our 800.4.AUTISM . In New Jersey, most behavioral health services for Medicaid patients are reimbursed by NJ FamilyCareNew Jerseys Medicaid. Durable Medical Equipment, Prosthetics, Orthotics Supplies. Current Dental Terminology (CDT or CDTTM) codes, nomenclature, descriptions and Medical Policies and Clinical UM Guidelines; Prior Authorization Requirements. This category of waivers allows states to provide patients with services provided by non-traditional health providers or in non-traditional settings with funding via Medicaid.1 The NJ waiver was created to better integrate services for patients, enable more patients to participate in home and community-based programs, reduce administrative burden, and increase savings.2 Covered services include inpatient psychiatric hospitalization, adult group homes, partial hospitalization, and case management, among others. Since September 1, 2011, the Online Fee Lookup (OFL) and static fee schedules include a column titled "Adjusted Fee." The Adjusted Fee column displays the fee with all of the percentage reductions applied. Effective Secure .gov websites use HTTPSA Effective September 22, 2022, the New York State (NYS) Medicaid fee-for-service (FFS) professional dispensing fee will change from $10.08 to $10.18 for covered outpatient drugs, when applicable. Sign up to get the latest information about your choice of CMS topics. Fee schedules prior to Nov. 3, including archives, are available at the links below. The National Committee for Quality Assurance (NCQA) updates a report card for New Jersey health plans. Any use not authorized herein is prohibited. If you are not enrolled with DDD, MLTSS or FIDE-SNP, you should call your local Medical Assistance Customer Center (MACC) for mental health services. Webinar: CQ-CO Modifiers and Medicare in 2022. As indicated above, some states require that out-of-state providers enroll in their states Medicaid program in order to be reimbursed. To find the number of a local MACC, visit state.nj.us/humanservices/dmahs/info/resources/macc/. portal. Please click Continue to leave this website. This agreement will terminate upon notice if Some of these states may accept a providers Medicaid enrollment in the state where they practice to fulfill this requirement. The new website offers enhanced search options for fee schedules, covered procedure codes and covered revenue code data. CMS is releasing the 2022-2023 Medicaid Managed Care Rate Development Guide for states to use when setting rates with respect to any managed care program subject to federal actuarial soundness requirements during rating periods starting between July 1, 2022 and June 30, 2023. Contrast Agents and Radiopharmaceuticals Medicaid 2022 Contrast Agents and Radiopharmaceuticals Medicaid 2022; . not contained in this product/file. Resources, Commissioner & Key Behavioral Health Overlay Services Fee Schedule. lock 2022 to July 31, 2022 Apple Health (Medicaid) behavioral health policy and billing; April 29, 2021 to January 31, 2022 Apple Health (Medicaid) behavioral health policy and . The Indiana Health Coverage Programs (IHCP) invites providers to attend the 2022 IHCP Works seminar from Oct. 11 through Oct. 13. . We bring our national experience to your communities. To right these wrongs, the Quality Institute is asking our state Legislature and governor to increase Medicaid primary care rates to 80% of Medicare, starting in fiscal year 2023. means youve safely connected to the .gov website. Clinical Diagnostic Laboratory Test, Upper Payment Limit. If you submit a claim without enrolling, your Medicaid claims will be denied and you will receive information from your local BCBS plan regarding the Medicaid provider enrollment requirements. Under managed care, beneficiaries enroll in a health plan or managed care organization (MCO) which coordinates their members' healthcare and offers special services in . https:// In New Jersey, home health services, personal care and private duty are all under Managed Care, and have been since July 2011. In 2016, the Centers for Medicare & Medicaid Services (CMS) updated the regulations for Medicaid . In 1995, New Jersey began moving Medicaid beneficiaries from a traditional fee-for-service health coverage program, where providers bill Medicaid directly, to managed care. The increases would go to primary care, family . For Questions about NJ FamilyCare, call 1-800-701-0710 or your County Welfare Agency. The fee schedules below are effective for dates of service January 1, 2022, through December 31, 2022. Autism New Jersey's collaborative efforts with DMAHS to launch the benefit provided a strong foundation for continued advocacy on the benefit's implementation. First, the State sought to ensure equity in reimbursement for behavioral health services by eliminating variability due to contracts between providers and insurance companies.5 Second, the transition to FFS increased federal funding for BH services through NJ Medicaid.5 As part of this, reimbursement for psychiatric evaluation increased almost two-fold.5 However, there are some cons to the FFS system. To use a general fee schedule, Medicaid providers can click Static Fee Schedules. Revised 11/15/2022 (ZIP) 2022 End of Year Zip Code File (ZIP) 2021 End of Year Zip Code File - Revised 05/27 . You will be required to enroll before the Medicaid claim can be processed and before you may receive reimbursement. Provider Resources Overview; Forms; Provider Manuals and Guides. By clicking the box I agree, Effective today, Thursday, Nov. 3, 2022, all fee schedules currently listed on the NC Medicaid website have been moved to a new Fee Schedule and Covered Code Portal available to the public. The IHCP allows a family member or close associate of a Medicaid member to officially enroll as a driver, so the driver's mileage can be reimbursed. Within New Jersey Medicaid there are also a number of special programs designed to meet the specific medical needs of certain groups of people who would not otherwise qualify for the program.