MedicaidPrior AuthMedium impact
Newsletter Vol. 13, No. 13
New Jersey Medicaid·NJ · Psychiatry·Prior Authorization
We identified it
Jun 20, 2026
Summary
New prior authorization requirements are being implemented for partial care, partial hospital programs, and Programs of Assertive Community Treatment (PACT) specifically for providers located in Bergen County, New Jersey. This affects mental health and substance abuse treatment services in this specific geographic area.
Action Required
Immediately: Bergen County providers offering partial care, partial hospital programs, or Programs of Assertive Community Treatment must begin obtaining prior authorization before providing these services. Update intake processes to verify authorization status. Contact the payer to understand specific authorization procedures and timeframes. Claims may be denied without proper prior authorization.