MedicaidPrior AuthMedium impact
Newsletter Vol. 10, No. 87
New Jersey Medicaid·NJ · Dentistry·Prior Authorization
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid has implemented changes to prior authorization requirements for Fee-For-Service dentist services. Dental practices billing Medicaid will need to update their authorization processes for specific dental procedures.
Action Required
Immediately: Billing team should download and review the full policy document from https://www.njmmis.com/documentDownload.aspx?document=10-87.pdf to identify specific dental procedures requiring prior authorization changes. Update billing system rules and staff workflows accordingly for New Jersey Medicaid Fee-For-Service claims.