TERMS AND CONDITIONS OF USE
NJSAMS contains health information, including substance use disorder and mental health diagnosis and treatment information, that is protected under federal and state law, including the Confidentiality of Alcohol and Drug Abuse Patient Records, 42 C.F.R. Part 2, and the Health Insurance Portability and Accountability Act of 1996 (HIPAA), 45 C.F.R. Parts 160 & 164.
As a NJSAMS User, I understand that my work will involve access to client health information, which is protected by federal and state laws, for the purpose of providing or arranging treatment, payment or other health care operations. NJSAMS users are not permitted access to client information without a valid written consent that meets the requirements of 42 C.F.R. Part 2 and HIPAA.
I acknowledge that I am engaged by a covered entity. I further acknowledge my responsibility to protect the privacy of and to guard against inappropriate use or disclosure of client health information by logging in as a NJSAMS user.
PROHIBITION ON REDISCLOSURE OF CONFIDENTIAL INFORMATION
This notice accompanies a disclosure of information concerning a client in substance use treatment made to you with the consent of such client.
This information has been disclosed to you from records protected by Federal confidentiality rules (42 C.F.R. Part 2).
The Federal rules prohibit you from making any further disclosure of this information unless further disclosure is expressly permitted by the written consent of the person to whom it pertains or as otherwise permitted by 42 C.F.R. Part 2.
A general authorization for the release of medical or other information is NOT sufficient for this purpose.
The federal rules restrict any use of information to criminally investigate or prosecute any alcohol or drug abuse client.
IME Helpline
For Consumer #844-276-2777
Dear Provider,NJSAMS News Letter
Dear Provider,
NJSAMS supports Internet Explorer 8.x or higher. If your browser is older, you may have trouble accessing web site features properly. You can determine the version of your browser by choosing "Help" at the top of your browser window, then select "About" (your browser).
Office of Information Systems - OIS
Medication Assisted Treatment (OTP) Pre-Authorization (PA) Issued by the Rutgers UBHC IME After April 1, 2019.
On and after April 1, 2019 Medicaid will no longer require a PA for payment of Opioid Maintenance Outpatient service claims. Providers will no longer be required to submit a request for a PA for the LOC “Opioid Maintenance Outpatient” – services codes H0020 HF 26 and H0033 HF 26. OTP providers are to submit requests for PAs for clients admitted on or prior to March 31, 2019 prior to or no later than March 31, 2019. However, on and after April 1, 2019 some providers of Opioid Maintenance Outpatient may need to obtain a PA for an admission to prior to April 1, 2019. When that is the case, the provider will submit in NJSAMS a LOCI request for a client who was admitted to an OTP Opioid Maintenance Outpatient service prior to April 1, 2019. These providers will be able to submit their delayed requests to the IME in NJSAMS only during the first seven (7) days of April 2019 – from Monday April 1 thru Sunday April 7. The IME will issue PAs for provider authorization requests for services codes H0020 HF 26 and H0033 HF 26 that justify admission, with a PA Admission/Start date on or prior to April 1, 2019. Those PAs will have an end date of March 31, 2019.
Should an OTP provider have concerns about this procedure prior to April 7, 2019 they may call the IME at 844-276-2444 for guidance. Should an OTP provider request a PA after April 7, 2019 for services provided prior to April 1, 2019 they may contact the Medicaid provider assistance unit at 609-631-4642.
Changes in NJSAMS Credentials Policy
Per DMHAS policy and guide lines, NJSAMS users who have not logged in within the last 90 days will be disabled automatically in NJSAMS.
If any user’s NSJAMS account is disabled due to this rule, must contact NJSAMS administrator within your agency to get new user credentials. This process will start on 2/11/2019.
Ticket Management System (TMS) update
We are pleased to inform you that a new feature in TMS is available starting from 12/11/2018.
Providers do not need to open a new ticket if a ticket was responded as "INADEQUATE INFO" by reviewer. here
Registration for Medicaid Presumptive Eligibility
Please click here for the process to Become a Presumptive Eligibility (PE) Provider.
NJSAMS Quarterly Webinar
NJSAMS’s 2019 quarterly webinars will be organized on February 19th, May 7th, August 5th and November 7th, 2019 from 1:30 pm to 3:30 pm. Registration link will be posted 3 weeks prior to these dates.
Please click on the link below to register for NJSAMS quarterly webinar on Monday Aug 5th , 2019 from 1:30 pm to 3:30 pm
Webinar Registration
Announcement
Dear Providers,As of 02/04/2019, Financial eligibility for individuals seeking DAS contract and Fee for Services will be determined on Federal Poverty Level 2019 guide lines. Real time Medicaid verification has been implemneted which enables providers to check client Medicaid eligiblity through NJSAMS. Providers can import client's demographic data into NJSAMs from their EHR system using HL7 format.
Until further notice, the ERL for Medicaid clients will remain open in the ERL Due List for 30 days from the end date of the current Medicaid PA. This does not changed the end date of the existing Medicaid authorization. This does not impact any of the current UM procedures.
Dear Providers,here for DSM-5 changes in NJSAMS as several providers were not familiar with the clinical update regarding 0.5-Early Intervention and the “At Risk” status of a consumer who does not meet DSM-5 criteria for any diagnosis.
NJSAMS 4.3 has been released on 06/19/2019!! Please find the Release Content Letter (RCL):
NJSAMS 4.3 RCL
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NJSAMS 4.1 has been released on 12/11/2018!! Please find the Release Content Letter (RCL):
NJSAMS 4.1 RCL
NJSAMS 4.0 has been released on 07/01/2018!! Please find the Release Content Letter (RCL):
NJSAMS 4.0 RCL
NJSAMS 3.8 has been released on 05/18/2018!! Please find the Release Content Letter (RCL):
NJSAMS 3.8 RCL
NJSAMS 3.7 has been released on 12/08/2017!! Please find the Release Content Letter (RCL):
NJSAMS 3.7 RCL
NJSAMS 3.6 has been released on 11/15/2017!! Please find the Release Content Letter (RCL):
NJSAMS 3.6 RCL
NJSAMS 3.5.3 has been released on 09/14/2017!! Please find the Release Content Letter (RCL):
NJSAMS 3.5.3 RCL
NJSAMS 3.5.2 has been released on 09/01/2017!! Please find the Release Content Letter (RCL):
NJSAMS 3.5.2 RCL
NJSAMS 3.5.1 has been released on 07/24/2017!! Please find the Release Content Letter (RCL):
NJSAMS 3.5.1 RCL
NJSAMS 3.5 has been released on 07/01/2017!! Please find the Release Content Letter (RCL):
NJSAMS 3.5 RCL
NJSAMS 3.4.5.2 has been released on 04/17/2017!! Please find the Release Content Letter (RCL):
NJSAMS 3.4.5.2 RCL
NJSAMS 3.4.5 has been released on 04/10/2017!! Please find the Release Content Letter (RCL):
NJSAMS 3.4.5 RCL
NJSAMS 3.4.4 has been released on 03/07/2017!! Please find the Release Content Letter (RCL):
NJSAMS 3.4.4 RCL
NJSAMS 3.4.2.1 has been released on 11/30/2016!! Clients admitted in IOP level of care (across all the initiatives) will appear in ERL due list 10 days before expiring current authorization
NJSAMS 3.4.2 has been released on 09/26/2016!! Please find the Release Content Letter (RCL): NJSAMS 3.4.2 RCL
NJSAMS 3.4.1.1 has been released on 07/15/2016!! Please find the Release Content Letter (RCL): NJSAMS 3.4.1.1 RCL
For previous NJSAMS release information, click here
NJSAMS 3.4.2 Release PowerPoint State Administrative PA IME Update for Providers
Letter to IME Affiliated Providers - Change in IME Timeline for Medicaid Prior Authorization (PA). please click on link below
Change in IME Timeline