The New Jersey County Option Hospital Fee Program supports local hospitals and ensures that they continue to provide necessary services to low-income residents. Legislation limits eligibility to certain counties and delineates criteria for eligibility. The information below is for the use of eligible counties and the hospitals within their borders. Any questions on the program can be directed to Dmahs.hospcountyfee@dhs.nj.gov
New Jersey County Option Hospital Fee Program Operations Manual
SFY2028 Preparation and Templates are due on December 4, 2026.
- Fee and Expenditure Report
- Data Form
- DSH Calculation Template
- Hospital Attestations
- NPI Form – Payments
- Draft Preprint
- Table 2; Impact of SDPs on Payment Levels
- Quality Evaluation Template
- Quality Evaluation Template - Bergen
- Quality Evaluation Template - Gloucester
- NPI Form – Encounter Data
- SFY2028 Encounter Data Criteria
Documents
2027
- Atlantic 2027 Fee & Expenditure Report
- Bergen 2027 Fee & Expenditure Report
- Burlington 2027 Fee & Expenditure Report
- Camden 2027 Fee & Expenditure Report
- Cumberland 2027 Fee & Expenditure Report
- Essex 2027 Fee & Expenditure Report
- Gloucester 2027 Fee & Expenditure Report
- Hudson 2027 Fee & Expenditure Report No Christ
- Hudson 2027 Fee & Expenditure Report With Christ
- Mercer 2027 Fee & Expenditure Report
- Middlesex 2027 Fee & Expenditure Report
- Monmouth 2027 Fee & Expenditure Report
- Ocean 2027 Fee & Expenditure Report
- Passaic 2027 Fee & Expenditure Report
- Union 2027 Fee & Expenditure Report
2027 Model Attachments
- Atlantic County F&E SFy27 Reports
- Bergen County v12 - F&E SUBMISSION_SFY27
- Cumberland County_F&E Attachments_SFY 2027
- Essex County_F&E Attachments_SFY27_02.24.2026
- Gloucester County_F&E Attachments_SFY27_01222026
- Monmouth_F&E Report SFY27 Attachments 1-11_02.02.2026
- Ocean County_F&E Report Attachments SFY27_02.02.2026
All CMS Approval Letters can be found on Medicaid.gov - Approved State Directed Payment Preprints | Medicaid
Official Site of The State of New Jersey