In February, Govenor Christie enacted the New Jersey Substance Use Disorder Law. This law, provides certain coverages for individuals suffering from a substance use disorder as well as providing regulations on opioid prescription drugs.
Horizon is joining in the fight against opioid addiction and misuse. The law has the following provisions:
Requires New Jersey insurers to cover inpatient and outpatient treatment of substance use disorders at in-network facilities
Puts certain restrictions on prior authorization or utilization management for the first 180 days per plan year of medically necessary inpatient and outpatient treatment of substance use disorders
Places certain restrictions on prescribed opioids, such as a five-day supply limit on initial prescriptions issued by a New Jersey prescriber for acute pain, which was effective March 1, 2017 pursuant to emergency rules.
The provisions of this law were added into Horizon small group plans as of May 16, 2017. For more information on this new law and more specific details, please visit www.horizonblue.com or call Member Services.
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