All PlansCoverageLow impact
Newsletter Vol. 6, No. 24
New Jersey Medicaid·NJ · Ophthalmology, Plastic Surgery·Medical Policy
We identified it
Jun 20, 2026
Summary
This policy update addresses changes in coverage and reimbursement for prosthetic eyes. Billing teams should review updated coverage criteria and reimbursement rates for prosthetic eye services to ensure proper claims processing.
Action Required
Review the full policy document at https://www.njmmis.com/documentDownload.aspx?document=6-24.pdf to understand specific coverage and reimbursement changes for prosthetic eyes. Update billing procedures and fee schedules as needed based on the detailed policy content.