MedicaidPrior AuthHigh impact
Medicaid Alert MA2020-04
New Jersey Medicaid·NJ · Psychiatry·Prior Authorization
Effective date
Apr 1, 2020
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid has suspended all prior authorization requirements for Substance Use Disorder (SUD) treatment services effective April 1, 2020 due to COVID-19 emergency. Providers can admit patients to all levels of SUD care without obtaining prior authorization until further notice.
Action Required
Immediately: Billing team must stop obtaining prior authorization for all Medicaid SUD treatment services. Continue entering client admissions into NJSAMS system and follow ASAM placement guidelines. Maintain appropriate documentation for all services and continue standard Medicaid eligibility verification. Monitor www.njmmis.com for updates on when prior auth requirements resume.