All PlansPrior AuthMedium impact
Newsletter Vol. 27, No.01
New Jersey Medicaid·NJ · Psychiatry·Prior Authorization
We identified it
Jun 20, 2026
Summary
New prior authorization requirements have been implemented for Partial Care Services. Healthcare providers must now obtain prior authorization before delivering these services to avoid claim denials.
Action Required
Immediately: Billing team and providers must begin obtaining prior authorization for all Partial Care Services before service delivery. Update billing system to flag these services for prior auth verification. Contact insurance plans to establish prior auth workflow. Claims submitted without prior authorization will be denied.