New Jersey A4694 requires prescription drug coverage for serious mental illness without prior authorization or utilization management, including step.
New Jersey A4694 mandates that health insurance carriers and the State Medicaid and NJ FamilyCare programs provide coverage for prescription drugs prescribed for serious mental illness without prior authorization or other utilization management requirements, including step therapy protocols. The bill defines "serious mental illness" to include psychiatric illnesses such as schizophrenia, major depressive disorders, and post-traumatic stress disorder.
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