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STATE OF NEW JERSEY DEPARTMENT OF HUMAN SERVICES DIVISION OF MEDICAL ASSISTANCE AND HEALTH SERVICES Division of Developmental Disabilities (DDD) Supports Program Application package consists of: 1.
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Healthcare providers: Healthcare providers, such as doctors, nurses, clinics, hospitals, and other medical professionals, may require njmmis to enroll in Medicaid or provide services covered by Medicaid in the state of New Jersey. Njmmis helps providers with the reimbursement process and ensures proper coordination of care.
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State agencies: State agencies involved in administering Medicaid benefits or overseeing the Medicaid program in New Jersey may also utilize njmmis. This includes agencies responsible for determining eligibility, managing enrollment, and ensuring compliance with Medicaid regulations.
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In summary, njmmis is required by healthcare providers, Medicaid recipients, state agencies, and insurance companies involved in Medicaid services in New Jersey. Properly filling out njmmis is crucial for effective enrollment, reimbursement, and access to healthcare services.
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njmmis stands for New Jersey Medicaid Management Information System. It is the system used for managing and processing Medicaid claims in the state of New Jersey.
Healthcare providers who provide services to Medicaid beneficiaries in New Jersey are required to file claims through njmmis.
Providers can fill out njmmis claims electronically through the njmmis web portal or by using an approved billing software.
The purpose of njmmis is to streamline the Medicaid claims process, improve accuracy and efficiency in claims processing, and ensure timely payments to providers.
Providers must report all services provided to Medicaid beneficiaries, including procedure codes, diagnosis codes, dates of service, and charges.
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