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Updated Guidance on Exclusion Screening for New Jersey’s Medicaid Providers and Plans

February 15, 2023

In January of 2023, New Jersey issued new guidance regarding those databases that healthcare entities (including providers and managed care organizations) participating in NJ’s Medicaid program must query monthly to ve...

Deficit Reduction Act Compliance: Certification Requirements for New Jersey Providers & MCOs

November 9, 2022

Background on the DRA The federal Deficit Reduction Act of 2005 (DRA) included new requirements related to fraud, waste and abuse for Medicaid plans that received or made payments of $5 million dollars or more in any ...

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