All PlansPrior AuthMedium impact
Newsletter Vol. 3, No. 31
New Jersey Medicaid·NJ·Prior Authorization
We identified it
Jun 20, 2026
Summary
Newsletter Vol. 3, No. 31 contains updates to utilization review processes that may affect prior authorization requirements. Without access to the full policy content, billing teams should review the complete document to understand specific changes to authorization workflows.
Action Required
Immediately: Billing team and providers must download and review the complete Newsletter Vol. 3, No. 31 from https://www.njmmis.com/documentDownload.aspx?document=3-31.pdf to identify specific utilization review changes. Update prior authorization workflows and staff training based on new requirements found in the full document.