AmeriHealth New Jersey Expands Suspension of Prior Authorization Beyond COVID-19 Diagnoses

Change will help streamline placement of patients to the most appropriate care settings

Cranbury, NJ, April 27, 2020 — In an effort to assist physicians and health care facilities during the COVID-19 pandemic, AmeriHealth New Jersey today announced that it is expanding its temporary suspension of prior authorization for acute in-network admissions from the emergency department to include all diagnoses (including COVID-19) and for in-network transfers and transportation between facilities. The change, which is for fully insured members, takes effect immediately and will remain in effect until June 4, 2020.

As announced on April 3, AmeriHealth New Jersey also suspended prior authorization requirements for transfers from acute in-network inpatient facilities to post-acute in-network facilities (long-term acute care hospitals, rehabilitation or skilled nursing facilities) or other in-network acute inpatient facility for any diagnoses. Notification from facilities is still required. These steps are intended to facilitate and reduce administrative processes for the placement of COVID-19 patients to the most appropriate care settings.

AmeriHealth New Jersey will continue to evaluate these decisions and others as the COVID-19 situation evolves.

AmeriHealth New Jersey has implemented a range of clinical and business initiatives to reduce the spread of COVID-19 and protect the physical and mental health of the people in the communities it serves.

For more information about AmeriHealth New Jersey’s response to the COVID-19 pandemic, visit amerihealthnj.com/covid-19.

About AmeriHealth New Jersey
For more than 25 years AmeriHealth New Jersey* has been dedicated to enhancing the health and well-being of the people and communities we serve. Our members are at the center of everything we do. Since the onset of the Affordable Care Act, we have been committed to offering health plans on the Individual Marketplace, which has expanded access to coverage for New Jersey residents. We are exclusively focused on New Jersey with plans designed to meet the unique needs of individuals, small- and mid-sized businesses, municipalities and boards of education across the state. We also provide administrative services to self-funded groups. Named one of the Best Places to Work for the past nine years, AmeriHealth New Jersey is located in Cranbury, NJ. For more information visit amerihealthnj.com.

*AmeriHealth Insurance Company of New Jersey | AmeriHealth HMO, Inc.

Media Contact

Jill Roman
Manager, Public Relations
AmeriHealth New Jersey
(609) 662-2454
Jill.Roman@AmeriHealth.com