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Precertification no longer needed for certain mental health and substance abuse services for AmeriHealth New Jersey members
Professional; Facility
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This article is to clarify that precertification is no longer required for the
following services for AmeriHealth New Jersey members:
in-network outpatient non-serious mental health visits;
in-network outpatient treatment for drug dependency.
This aligns with the existing New Jersey no-precertification requirement for
serious mental illness and alcohol abuse/dependency outpatient professional
services.
Please note that precertification continues to be required for intensive
outpatient programs and partial hospitalization programs (outpatient
rehabilitation) for serious mental health, non-serious mental health, and
alcohol/drug abuse and dependency treatment.
If you have any questions about these changes, please contact your Network
Coordinator or Hospital/Ancillary Services Coordinator.