MedicaidCoverageMedium impact
Newsletter Vol. 4, No. 56
New Jersey Medicaid·NJ · OB-GYN, Urology, Endocrinology·Medical Policy
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid has terminated coverage for infertility services. Claims for fertility treatments previously covered under Medicaid will now be denied.
Action Required
Immediately: Billing team must stop submitting infertility service claims to New Jersey Medicaid. Update billing system to flag NJ Medicaid patients for fertility services. Front desk staff must inform NJ Medicaid patients that infertility services are no longer covered and discuss alternative payment options before scheduling.