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Submit Prior Authorization for Your Patient's Medications Quickly and Easily Using ePA
Act
by Jan 1, 2027
Effective date
Jan 1, 2027
Identified
Jun 26, 2026
Summary
Horizon Blue Cross Blue Shield of New Jersey is encouraging providers to submit medication prior authorizations electronically using ePA tools (CoverMyMeds or SureScripts) through Prime Therapeutics, with no cost to practices. This aligns with a New Jersey state mandate requiring electronic PA submission beginning January 1, 2027.
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What to do
by Jan 1, 2027 · 3 steps
01Billing team and providers must transition all medication prior authorization submissions to electronic methods via CoverMyMeds or SureScripts through Prime Therapeutics.
02Set up system integrations or manual workflows to route all medication PAs electronically rather than via phone or fax.
03Update staff training on ePA portal access and submission procedures.
If missed: Failure to submit PAs electronically after the mandate date may result in claim denials or processing delays.
Original notice
Submit Prior Authorization for Your Patient's Medications Quickly and Easily Using ePA
horizonblue.com · Always check the source before changing claims.