New Jersey S1192 requires prescription drug coverage for serious mental illness without prior authorization or utilization management, including step.
New Jersey S1192 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 bipolar disorders, major depressive disorders, obsessive-compulsive disorders, paranoid and other psychotic disorders, schizo-affective disorders, and schizophrenia.
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