MedicaidPrior AuthMedium impact
Newsletter Vol. 10, No. 33
New Jersey Medicaid·NJ·Prior Authorization
Effective date
Jun 1, 2000
We identified it
Jun 20, 2026
Summary
New Jersey is expanding prior authorization requirements for pharmaceutical services to Trenton Work First New Jersey/General Assistance (WFNJ/GA) beneficiaries, effective June 1, 2000. Pharmacies must obtain prior authorization before dispensing certain prescription drugs to beneficiaries with ID numbers starting with '5346', with a 72-hour emergency supply exception when the PA unit is unavailable.
Action Required
Before June 1, 2000: Pharmacy staff must contact the PA Hotline at 1-800-609-0106 during business hours (8:30 AM to 4:30 PM) to obtain prior authorization numbers before dispensing drugs on the specified list to Trenton WFNJ/GA beneficiaries (ID numbers starting with '5346'). For emergency situations when the unit is unavailable, dispense only a 72-hour supply and submit hard-copy claims to Unisys with 'Emergency' marked in field 18. Claims without proper prior authorization will receive edit '577' indicating PA requirement.