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MedicaidPrior AuthHigh impact

Medicaid Alert - MA-1992-15

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

Summary

New Medicaid policy MA-1992-15 introduces changes to prior authorization number requirements. This is a fresh 1-day old policy that billing teams must implement immediately to ensure proper claim processing.

Action Required

Action needed
Immediately: Billing team must review the full policy document at https://www.njmmis.com/documentDownload.aspx?document=ma1992-15.pdf to understand new prior authorization number requirements. Update billing system workflows to capture and submit required prior auth numbers for Medicaid claims. Train staff on new authorization processes to prevent claim denials.