MedicaidCoverageMedium impact
Discontinuation of Medicaid Coverage for Hyaluronan Intra-Articular Injections
Nebraska Medicaid·NE · Orthopedics, Rheumatology, Pain Management·Medical Policy
Effective date
Jan 1, 2026
We identified it
Jun 21, 2026
Summary
Nebraska Medicaid will discontinue coverage for all hyaluronan intra-articular injections for knee osteoarthritis effective January 1, 2026. These products are now considered not medically necessary and will not be covered under pharmacy or medical benefits.
Action Required
By December 31, 2025: Billing team must update systems to flag all hyaluronan injection HCPCS codes (J7318-J7332) as non-covered for Nebraska Medicaid patients. Update encounter forms and provider alerts to prevent ordering these injections for Nebraska Medicaid beneficiaries. Claims will be denied after January 1, 2026.