MedicaidPrior AuthMedium impact
Medicaid Alert - MA-1992-18
New Jersey Medicaid·NJ · Psychiatry, Family Medicine, Internal Medicine +1 more·Prior Authorization
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid now allows retroactive authorization for mental health services under policy MA-1992-18. This means providers can request authorization for mental health services after they have already been rendered.
Action Required
Immediately: Billing team should review mental health claims that were previously denied for lack of prior authorization. Contact New Jersey Medicaid to request retroactive authorization for eligible mental health services. Update billing workflows to include retroactive authorization as an option for denied mental health claims.