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MedicaidPrior AuthMedium impact

Newsletter Vol. 6, No. 65

New Jersey Medicaid·NJ·Prior Authorization
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply
—

Summary

A new policy change regarding prior authorization requirements for Coach Service has been implemented. The policy appears to invalidate or change existing Coach Service prior authorization procedures, though specific details require review of the full document.

Action Required

Action needed
Immediately: Review the full policy document at https://www.njmmis.com/documentDownload.aspx?document=6-65.pdf to understand changes to Coach Service prior authorization requirements. Billing team must identify affected services and update prior authorization workflows accordingly. Contact payer for clarification on Coach Service procedures if needed.

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