MedicaidPrior AuthHigh impact
Medicaid Alert - MA-1992-17
New Jersey Medicaid·NJ · Psychiatry, Family Medicine, Internal Medicine +1 more·Prior Authorization
We identified it
Jun 20, 2026
Summary
Medicaid now requires prior authorization for mental health services. This is a fresh policy update that will affect billing for psychiatric and behavioral health procedures covered under Medicaid plans.
Action Required
Immediately: Billing team must update system to require prior authorization for all Medicaid mental health services. Contact Medicaid prior to scheduling mental health appointments to obtain authorization. Update intake procedures to verify prior auth status. Claims submitted without proper prior authorization will be denied.