MedicaidPrior AuthMedium impact
Medicaid Alert - MA-2002-09
New Jersey Medicaid·NJ·Prior Authorization
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid has revised the completion instructions for form FD-07A, which is used to request prior authorization supplemental information for pharmacy services. Billing teams handling Medicaid pharmacy prior authorizations must update their form completion procedures according to the new instructions.
Action Required
Immediately: Billing team must review and implement the revised completion instructions for form FD-07A when submitting prior authorization requests for Medicaid pharmacy services. Download the updated instructions from the NJ MMIS portal and update internal procedures for completing this supplemental information form. Incorrect form completion may result in prior authorization delays or denials.