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MedicaidPrior AuthMedium impact

Newsletter Vol. 29, No.15

New Jersey Medicaid·NJ·Prior Authorization
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply
—

Summary

New Jersey has contracted with Permedion to conduct utilization review audits for NJ FamilyCare (Medicaid) services. This change affects how prior authorization requests and medical necessity reviews will be processed for NJ Medicaid patients.

Action Required

Action needed
Immediately: Update prior authorization submission processes for NJ FamilyCare patients to work with new vendor Permedion. Billing team should verify current contact information and submission portals for utilization review requests. Monitor for any changes to approval timelines or documentation requirements during transition period.

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