MedicaidCoverageHigh impact
Nebraska Medicaid: Knee injection coverage and attestation for single-dose drugs
UnitedHealthcare·NE · Orthopedics, Rheumatology, Pain Management +1 more·State news
Effective date
Jan 1, 2026
We identified it
Jan 12, 2026
Summary
Effective January 1, 2026, Nebraska Medicaid will no longer cover hyaluronan knee injections for osteoarthritis and requires providers to attest no-waste drug use by adding modifier JZ to single-dose drug claims.
Action Required
By January 1, 2026: Billing team must update system to deny/reject HCPCS codes J7320, J7321, J7322, J7324, J7325, J7326, J7327, J7329, J7331, J7332 for Nebraska Medicaid patients. Add modifier JZ to all single-dose drug claims and ensure providers document any drug wastage in medical records. Claims without proper attestation may be denied.