All PlansPrior AuthMedium impact
Newsletter Vol. 11, No. 81
New Jersey Medicaid·NJ · PM&R (Physical Medicine & Rehab), Physical Therapy, Occupational Therapy +2 more·Prior Authorization
We identified it
Jun 20, 2026
Summary
New prior authorization requirements have been implemented for Mobility Assistance Vehicle (MAV) services. Healthcare practices must now obtain prior authorization before providing or billing for MAV services to ensure coverage and avoid claim denials.
Action Required
Immediately: Billing team and providers must verify prior authorization requirements for all Mobility Assistance Vehicle services before scheduling or providing care. Update workflow to include PA verification step for MAV services. Contact insurance plans to obtain prior authorization before service delivery to prevent claim denials.