MedicaidDocumentationHigh impact
NewsLetter Vol. 21 No. 08
New Jersey Medicaid·NJ · PM&R (Physical Medicine & Rehab), Neurology, General Practice +1 more·Provider Notice
Effective date
Apr 1, 2011
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid now requires face-to-face encounters within 90 days before prescribing complex rehabilitative equipment including wheelchairs, seating systems, bathroom equipment, pressure reduction beds, and communication devices. DME suppliers must obtain and maintain documentation from practitioners including date, time, location and signature of the encounter.
Action Required
Immediately for NJ Medicaid patients: DME suppliers must obtain face-to-face encounter documentation from prescribing practitioners before submitting prior authorization requests. Documentation must include date, time, location and practitioner signature confirming encounter occurred within 90 days of prescription. Attach this documentation to Form FD-354 when requesting prior authorization - requests without documentation will be returned. Maintain all documentation on file as it may be subject to DMAHS review. Failure to comply may result in payment recoupment.