MedicaidPrior AuthMedium impact
Newsletter Vol. 11, No. 84
New Jersey Medicaid·NJ·Provider Notice
We identified it
Jun 20, 2026
Summary
This is a provider notice regarding changes and additions to PDUR (Prior Determination of Utilization Review) Standards. Without access to the full document content, the specific nature of these PDUR changes cannot be determined from the summary alone.
Action Required
Download and review the full policy document at https://www.njmmis.com/documentDownload.aspx?document=11-84.pdf to understand specific PDUR standard changes. Billing team should identify any new prior authorization requirements or documentation standards that may affect claim processing.