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Newsletter Vol. 25, No.14

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

Summary

New Jersey FamilyCare Fee-For-Service will now provide outpatient hospital reimbursement for dental services specifically for beneficiaries with chronic medical conditions and/or developmental disabilities requiring special healthcare needs. This expands coverage for dental procedures performed in hospital outpatient settings for this specific population.

Action Required

Action needed
Billing team should review the full policy document at https://www.njmmis.com/documentDownload.aspx?document=25-14.pdf to identify specific billing procedures, covered dental codes, and documentation requirements for NJ FamilyCare FFS beneficiaries with chronic conditions or developmental disabilities receiving dental services in outpatient hospital settings.

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