Back to dashboard
MedicaidCoverageMedium impact

Newsletter Vol. 29, No.16

New Jersey Medicaid·NJ · Dentistry, Oral & Maxillofacial Surgery·Provider Notice
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply
—

Summary

New Jersey Medicaid has updated criteria for orthodontic services and HLD (Health and Life Decisions) coverage. This policy change affects billing requirements and coverage criteria for orthodontic treatments under NJ Medicaid.

Action Required

Action needed
Review the full Newsletter Vol. 29, No.16 document at https://www.njmmis.com/documentDownload.aspx?document=29-16.pdf to understand the updated orthodontic service criteria and HLD requirements. Update billing procedures and prior authorization processes for NJ Medicaid orthodontic services according to the new NJ-Mod3 criteria.

Related policy hubs