All PlansPrior AuthMedium impact
Newsletter Vol. 11, No. 78
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 MAV services to ensure coverage and avoid claim denials.
Action Required
Immediately: Billing team must update prior authorization workflow to require PA approval before providing any Mobility Assistance Vehicle services. Update encounter forms and billing system to flag MAV services for prior auth check. Contact insurance plans to obtain PA before scheduling MAV services to prevent claim denials.