NYSDA Publications

The 2026 NYS Medicaid Dental Policy and Procedure Code Manual and Updated Fee Schedule are available on eMedNY

Apr 23, 2026

Please follow the links in eMedNY to the 2026 Dental Policy and Procedure Codes Manual and Fee Schedule. A "New for 2026" section on page 6 summarizes changes. New language also appears in a purple font, throughout.

Highlights:

• Updates to the Prior Authorization checklist (page 18)

• Deletion of code D9248 and new replacement codes

• New Appendix with links to find General Billing Guidance (page 76)

• Medicaid Update Archive (pages 74-75)

• Table of benefits for the Intellectual/Developmental Disabilities (IDD) population (pages 70-71)

Reminder: A completed Evaluation of the Dental Implant Patient Form is required for all Implant-related prior authorization requests.

Please contact dentalpolicy@health.ny.gov with questions.