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The analysis of any legal or medical billing is dependent on numerous specific facts — including the factual situations present related to the patients, the practice, the professionals and the medical services and advice. Additionally, laws and regulations and insurance and payer policies are subject to change. The information that has been accurate previously can be particularly dependent on changes in time or circumstances. The information contained in this web site is intended as general information only. It is not intended to serve as medical, health, legal or financial advice or as a substitute for professional advice of a medical coding professional, healthcare consultant, physician or medical professional, legal counsel, accountant or financial advisor. If you have a question about a specific matter, you should contact a professional advisor directly. CPT copyright American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.

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New Jersey Medicaid Coverage of Therapy Services

New Jersey Medicaid coverage and prior authorization information for therapy services.  See our New Jersey Medicaid Outpatient Therapy page for more detailed information.  Members can email us with any questions about Medicaid coverage or compliance questions. 


Children

Adults

Physical Therapy

New Jersey Medicaid covers physical therapy for children when provided by physical therapists employed in a physician’s office.

New Jersey Medicaid covers physical therapy for adults when provided by physical therapists employed in a physician’s office.

Outpatient rehabilitation benefits are limited to treatment over a period of sixty (60) consecutive business days per incident of illness or injury beginning with the first day of treatment.

Occupational Therapy

New Jersey Medicaid covers occupational therapy for children when provided by occupational therapists employed in a physician’s office.

New Jersey Medicaid covers occupational therapy for adults when provided by occupational therapists employed in a physician’s office.

Outpatient rehabilitation benefits are limited to treatment over a period of sixty (60) consecutive business days per incident of illness or injury beginning with the first day of treatment.

Speech Therapy

New Jersey Medicaid covers speech therapy for children when provided by speech therapists employed in a physician’s office.

New Jersey Medicaid covers speech therapy for adults when provided by speech therapists employed in a physician’s office.

Outpatient rehabilitation benefits are limited to treatment over a period of 60 consecutive business days per incident of illness or injury beginning with the first day of treatment.

About Us

Zachary Edgar JD, LLM is the managing partner for Therapy Comply.  Zachary is a healthcare attorney that specializes in federal and state healthcare regulatory issues particularly for physical, occupational, and speech therapy practices.  

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