MedicaidDocumentationMedium impact
Newsletter Vol. 25, No.13
New Jersey Medicaid·NJ · Psychiatry·Provider Notice
Effective date
Dec 1, 2015
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid has eliminated the requirement for GAF (Global Assessment of Functioning) scores to determine eligibility for Acute Partial Hospital and Partial Hospital services, effective immediately. All other clinical criteria for admission and certification remain unchanged.
Action Required
Immediately: Billing and clinical staff should stop requiring GAF scores for APH and PH service eligibility determinations for New Jersey Medicaid patients. Update internal eligibility checklists and admission criteria documentation to remove GAF score requirements. Continue to use all other existing clinical criteria for admission and certification.