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 authorizationopen_in_new 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 Guideopen_in_new.