New Jersey denial decoder
Incentive criteria not documented
The 99199 HD U8 incentive depends on a timely postpartum doula visit and obstetric follow-up criteria.
Denial guidance uses state billing sources.
Next actions avoid reimbursement guarantees.
Source trail remains visible for review.
Incentive criteria not documented
The 99199 HD U8 incentive depends on a timely postpartum doula visit and obstetric follow-up criteria.
Next action
Confirm the postpartum visit within six weeks of delivery and track the obstetric clinician follow-up before billing the incentive.
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