All PlansAdministrativeMedium impact

Newsletter Vol. 10, No. 31

Q: Who is affected by this change?

This affects New Jersey Medicaid General Surgery, Orthopedics, Cardiothoracic Surgery, Neurosurgery, Plastic Surgery, Vascular Surgery +5 more providers in NJ on All Plans plans.

New Jersey Medicaid·NJ · General Surgery, Orthopedics, Cardiothoracic Surgery +8 more·Provider Notice

Effective date

Not stated

We identified it

Jun 20, 2026

Days to comply

—

Summary

The Second Surgical Opinion Program has been updated with new requirements or procedures. Since only summary information is available, specific details about billing code changes, prior authorization requirements, or coverage modifications are not yet clear.

Action Required

Action needed

Immediately: Download and review the full policy document from https://www.njmmis.com/documentDownload.aspx?document=10-31.pdf to understand specific changes to the Second Surgical Opinion Program. Billing team should identify any new prior authorization requirements, coverage changes, or documentation requirements that may affect surgical procedure billing.

Related policy hubs

New Jersey Medicaid policies NJ policy changes General Surgery Orthopedics Cardiothoracic Surgery Neurosurgery Plastic Surgery Vascular Surgery Oral & Maxillofacial Surgery Ophthalmology ENT (Ear, Nose & Throat)Urology OB-GYN