MedicaidCoverageMedium impact
Newsletter Vol. 15, No. 16
New Jersey Medicaid·NJ · Urology, Family Medicine, Internal Medicine·Medical Policy
We identified it
Jun 20, 2026
Summary
NJ FamilyCare/Medicaid has updated their coverage policy for erectile dysfunction drugs. This policy change affects billing and coverage determinations for ED medications under New Jersey's Medicaid program.
Action Required
Billing team should review the complete policy document at https://www.njmmis.com/documentDownload.aspx?document=15-16.pdf to understand specific coverage criteria and prior authorization requirements for erectile dysfunction medications. Update billing procedures for NJ FamilyCare/Medicaid patients requiring ED drug coverage.