MedicaidPrior AuthMedium impact
Medicaid Alert - MA-2009-03
New Jersey Medicaid·NJ · Psychiatry·Prior Authorization
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid now requires prior authorization for partial care services. This affects mental health and substance abuse treatment programs that provide structured outpatient services.
Action Required
Immediately: Billing team must obtain prior authorization before providing partial care services for New Jersey Medicaid patients. Update intake procedures to verify authorization requirements. Contact NJ MMIS for authorization process details. Claims will be denied without proper prior authorization.