MedicaidPrior AuthMedium impact
Newsletter Vol. 29, No.06
New Jersey Medicaid·NJ · Family Medicine, Internal Medicine, Psychiatry +1 more·Prior Authorization
We identified it
Jun 20, 2026
Summary
Prior authorization requirements for Medication Assisted Treatment (MAT) have been eliminated for all MAT providers treating Office Based Addictions Treatment (OBAT). This streamlines the approval process for addiction treatment medications and reduces administrative burden.
Action Required
Immediately: Billing team should update prior authorization workflows to remove MAT prior auth requirements for OBAT providers. Update billing software rules to allow direct submission of MAT claims without prior authorization. Notify providers that MAT services can now be billed directly without waiting for approval.