MedicaidPrior AuthMedium impact
Newsletter Vol. 2, No. 46
New Jersey Medicaid·NJ·Prior Authorization
We identified it
Jun 20, 2026
Summary
This New Jersey Medicaid policy update includes changes to HCPCS procedure codes with updated maximum fee allowances and modifications to certain prior authorization requirements. The policy affects billing practices for New Jersey Medicaid providers.
Action Required
Immediately: Review Newsletter Vol. 2, No. 46 from NJ MMIS for specific HCPCS code changes and updated fee allowances. Update billing system with new maximum allowable rates for affected procedures. Verify any new prior authorization requirements and update workflow processes accordingly. Contact NJ Medicaid for clarification on specific codes and effective dates.