Currently naviHealth, Inc handles Utilization and Case/Care Management for post-acute services—including Skilled Nursing Facility (SNF), Inpatient Rehabilitation Facility (IRF), and Home Health—for MVP Medicare Advantage, DualAccess, and DualAccess Complete Members.

However, MVP and naviHealth, Inc will end their contract as of Dec 31st 2025.

Starting on Jan 1,2025 MVP will process these requests in house.

More information to come in Nov 2025.

Find this type of content useful? Follow my blog for more!

• Rhode Island Medicaid: update telehealth PT services
• Aetna Better Health NJ: new bundled oncology condition specific prior auth
• Aetna Better Health of  NJ: Out of network provider reimbursement update
• Healthfirst PT/OT prior auth and coverage changes
• NYS Medicaid Prior authorization timeframe update- 1/1/27