MedicaidPrior AuthMedium impact
Newsletter Vol. 10, No. 16
New Jersey Medicaid·NJ·Prior Authorization
We identified it
Jun 20, 2026
Summary
Prior authorization requirements have been expanded to include claims covered by the Camden City GA Program. This affects billing for services previously not requiring prior auth under this specific program.
Action Required
Immediately: Billing team must identify all patients covered by Camden City GA Program and begin obtaining prior authorization for applicable services before claim submission. Update billing system to flag Camden City GA Program claims for prior auth verification. Claims submitted without required prior authorization will be denied.