MedicaidCoverageMedium impact
Newsletter Vol. 4, No. 35
New Jersey Medicaid·NJ · OB-GYN, Endocrinology, Urology·Medical Policy
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid is terminating coverage for infertility services. This policy change will result in claim denials for fertility-related procedures and treatments previously covered under Medicaid.
Action Required
Immediately: Billing team must stop submitting infertility service claims to New Jersey Medicaid. Front desk staff should inform patients with NJ Medicaid that fertility treatments are no longer covered and discuss alternative payment options. Update billing system notes to flag NJ Medicaid patients for fertility services.