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January 01, 2025

New Jersey Medicaid: 2025 behavioral health services update

Starting Jan. 1, 2025, the following behavioral health services will be covered for all NJ FamilyCare members enrolled in UnitedHealthcare Community Plan of New Jersey: 

  • Independent practitioner(s): Psychiatry, APN, Physician Assistant
  • Independent practitioner(s): Psychologists, Licensed Clinical Social Workers (LCSWs), Licensed
  • Marriage and Family Therapists (LMFTs), Licensed Professional Counselors (LPCs)
  • Independent practitioner(s): Neuropsychologist
  • Outpatient Mental Health
  • Partial Care (Mental Health)
  • Acute Partial Hospitalization/Mental Health Psychiatric Partial Hospitalization
  • Ambulatory Withdrawal Management with Extended On-Site Monitoring/Ambulatory Detoxification ASAM 2-WM
  • Peer Recovery Support Services (PRSS) provided by Independent Clinics Drug/Alcohol
  • Substance Use Disorder Care Management
  • Substance Use Disorder Intensive Outpatient (IOP) ASAM 2.1
  • Substance Use Disorder Outpatient (OP) ASAM 1
  • Substance Use Disorder Partial Care (PC) ASAM 2.5

 

Prior authorization is required through UnitedHealthcare Community Plan of New Jersey. Please call the number on the member’s health plan ID card when referring for mental health and substance abuse/substance use services.
 

Refer to in-network providers

Members should use and be referred to in-network behavioral health providers for the above services. Instructions on how to find in-network behavioral health providers are available in our Behavioral Health Provider Lookup Guide.

Questions? We're here to help

Connect with us through chat 24/7 in the UnitedHealthcare Provider Portal. For additional contact information, visit our Contact us page.

PCA-1-24-03670-Clinical-NN_12172024

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