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Newsletter Vol. 5, No. 72
New Jersey Medicaid·NJ · OB-GYN, Family Medicine·Provider Notice
We identified it
Jun 20, 2026
Summary
This policy notice provides guidance on federal Medicaid funding limitations for termination of pregnancy procedures. Based on federal law, Medicaid will only provide funding for these procedures in cases of rape, incest, or when the mother's life is endangered.
Action Required
Billing team should review current procedures for pregnancy termination claims to ensure proper documentation of qualifying circumstances (rape, incest, or life endangerment) when billing Medicaid. Verify that claims not meeting federal funding criteria are billed appropriately to alternative payment sources or patient responsibility.