MedicaidPrior AuthMedium impact
Medicaid Alert - MA-2002-03
New Jersey Medicaid·NJ · Psychiatry·Prior Authorization
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid has revised forms FD-07 and FD-07A for requesting prior authorization for mental health and mental health rehabilitation services. Billing teams must update their prior authorization processes to use the new forms.
Action Required
Immediately: Billing and front office staff must download and implement the new forms FD-07 (Request for Prior Authorization for Mental Health and/or Mental Health Rehabilitation Services) and FD-07A (Request for Prior Authorization Supplemental Information) from the NJ MMIS website. Replace all old versions of these forms in workflows and ensure staff are trained on any changes to required fields or documentation.