The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full New Jersey other services schedule has 209 codes.
- Every code on all 51 published schedules
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Published codes
209
Other Services procedures on the 2026 schedule
Median % of Medicare
51.9%
vs national Medicare, GPCI-neutral
PA required
37
codes flagged by the state
Common other services procedures and what New Jersey Medicaid pays
A curated sample of recognizable procedures from the 209-code schedule. Rates are the state's published fee-for-service amounts; the percentage compares each rate with the national Medicare amount for the same code.
| Code | Procedure | New Jersey rate | % of Medicare |
|---|---|---|---|
| S5125 | Attendant care services; per 15 minutes | $9.75 | -- |
| T1019 | Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | $6.67 | -- |
| T2021 | Day habilitation, waiver; per 15 minutes | $29.18 | -- |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * show the schedule's representative published variant.
More New Jersey Medicaid fee schedules
- New Jersey physician fee schedule · 6,804 codes
- New Jersey lab & imaging fee schedule · 2,234 codes
- New Jersey dme & supplies fee schedule · 1,751 codes
- New Jersey drugs fee schedule · 953 codes
- New Jersey vision fee schedule · 136 codes
- New Jersey behavioral health fee schedule · 46 codes
Other Services rates in neighboring states
Frequently asked questions
What does New Jersey Medicaid pay for other covered services?
New Jersey Medicaid publishes 209 other services procedure rates effective 2026, paying a median 51.9% of the national Medicare amount for the same services. The schedule covers clinic encounters, screenings, and state-specific service codes. The table on this page shows published rates for common procedures; the complete all-codes schedule is available as a CSV download with a ProviderSignal Rates subscription.
How do New Jersey's other services rates compare with Medicare?
Across other services codes with a national Medicare comparator, New Jersey Medicaid pays a median 51.9% of the Medicare amount (GPCI-neutral national comparison). Individual codes vary widely, so check the per-code percentage in the table.
Do other services services need prior authorization in New Jersey?
New Jersey publishes prior-authorization flags on its schedule: 37 other services codes are marked as always requiring PA. Codes without a flag carry no published PA indicator.
Where do these rates come from?
Directly from New Jersey's published Medicaid fee-for-service schedule (effective 2026), collected and normalized by ProviderSignal across all 50 states + DC. Rates are re-collected on a rolling schedule and this page updates automatically. Procedure descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.
Get an email the next time New Jersey changes these rates.