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MedicaidPrior AuthMedium impact

Newsletter Vol. 2, No. 34

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

Summary

New policy update provides HCPCS procedure codes with maximum fee allowances and updated prior authorization instructions. Billing teams need to review the specific codes and fee schedules to ensure proper billing and prior auth compliance.

Action Required

Action needed
Immediately: Billing team must download and review Newsletter Vol. 2, No. 34 from the NJ MMIS portal to identify specific HCPCS codes, updated fee allowances, and new prior authorization requirements. Update billing system with any fee schedule changes and modify prior auth workflows as specified in the newsletter.

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