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P.L. 2021 c.41/S3252 and N.J.A.C. 10:52B establish the New Jersey County Option Hospital Fee Pilot Program to support local hospitals and to ensure that they continue to provide necessary services to low-income residents. The Act limits eligibility to a maximum of seven counties and delineates criteria for eligibility. The below information and documents are for the use of eligible counties and the hospitals within their borders.


Program Notice as of November 8, 2021

The NJ Department of Human Services is pleased to announce that all seven county programs were approved by the Centers for Medicare and Medicaid Services (CMS) on July 16, 2021, with an effective date of July 1, 2021. Future program years will require CMS approval as well.



The following documents are due to the NJ Department of Human Services by December 10, 2021: SFY23 Preliminary DSH Calculation Template; Table 2 analysis of provider payments as a percentage of commercial utilization data and of Medicare utilization data; NPI List Template including NPIs/Medicare CCN and Medicaid provider ID number(s); and SFY23 Hospital Attestation.


Please submit documents and technical questions to

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