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Newsletter Vol. 6, No. 29

New Jersey Medicaid·NJ · Orthopedics, General Surgery, Cardiothoracic Surgery +8 more·Provider Notice
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply
—

Summary

A Second Surgical Opinion Program has been implemented, likely requiring patients to obtain a second medical opinion before certain surgical procedures. This may affect authorization processes and patient care coordination for surgical cases.

Action Required

Action needed
Review the complete policy document at https://www.njmmis.com/documentDownload.aspx?document=6-29.pdf to understand specific requirements for the Second Surgical Opinion Program. Determine which surgical procedures require second opinions, update prior authorization workflows if needed, and educate staff on new patient coordination requirements.

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