New Jersey denial decoder
Licensed-practitioner recommendation missing
NJ FamilyCare covers doula services as preventive services that must be recommended by a physician or other licensed practitioner.
Denial guidance uses state billing sources.
Next actions avoid reimbursement guarantees.
Source trail remains visible for review.
Licensed-practitioner recommendation missing
NJ FamilyCare covers doula services as preventive services that must be recommended by a physician or other licensed practitioner.
Next action
Retain the recommendation in the member record before submitting the claim.
Back to New Jersey rulesWhy this page exists
Denial pages use the same checked state sources as the app.
NJMMIS Procedure Master Listing - Medicaid Fee for ServiceNew Jersey Medicaid / NJMMIS · CY2026 Q2 listing: 99600/99199 HD rows $16.62 per 15-minute unit, 59409/59514 HD delivery rows $500, 99199 HD U8 $100 · checked 2026-06-13NJ DMAHS Provider Newsletter Vol. 31 No. 4: Doula CareNew Jersey Division of Medical Assistance and Health Services · Revised billing codes, diagnosis Z32.2, standard/enhanced visit limits, recommendation requirement, and submission routes · checked 2026-06-13NJ DMAHS Doula Care Provider OverviewNew Jersey Division of Medical Assistance and Health Services · NJ FamilyCare doula benefit, FFS directory and MCO directory references, provider resources · checked 2026-06-13NJ DOH Community Doula Provider StepsNew Jersey Department of Health · FFS enrollment first, approved training, supplemental community competency, background check, liability insurance, MCO contracting after FFS · checked 2026-06-13