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States · New Jersey

New Jersey EVV and Medicaid home care, in plain words.

New Jersey uses HHAeXchange for EVV across Medicaid, and EVV data has been needed to get paid since July 2021. Most home care for adults is paid through five NJ FamilyCare health plans under MLTSS, so you contract and bill with each plan.

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New Jersey at a glance

EVV, Medicaid and billing in New Jersey.

Medicaid agencyNew Jersey Department of Human Services, Division of Medical Assistance and Health Services (DMAHS), which runs NJ FamilyCare. The Division of Aging Services and the Division of Developmental Disabilities run related programs.
EVV modelStatewide EVV vendor contract; visits confirmed by phone call, smartphone app, or a free in-home EVV device. Third-party systems connect through the state vendor.
State EVV systemHHAeXchange (statewide EVV vendor under DMAHS contract).
Your own EVV vendor allowed?Yes in practice: DMAHS publishes a ’Third Party Provider through HHAX/CareBridge’ billing flow. Confirm current rules with DMAHS.
Services that need EVVPersonal Care Assistance (PCA); MLTSS Home-Based Supportive Care; DDD Individual Supports, In-Home Respite and Community-Based Supports; Home Health Care Services.
Where you billNJMMIS (fee-for-service); each MLTSS plan for its members, with EVV-specific billing paths set by DMAHS.

Dates that matter: EVV live 1 Jan 2021; EVV data required for claims payment from 1 Jul 2021; home health requirements from 1 Jan 2023. DMAHS is running fall 2026 provider trainings (27 Oct and 10 Nov 2026).

Licensing: Non-medical home care agencies register as Health Care Service Firms with the NJ Division of Consumer Affairs and must be accredited; home health aides need certification from the Board of Nursing. Confirm current rules.

Managed care: Yes, MLTSS. HCBS for most adults is delivered through five NJ FamilyCare plans: Aetna Better Health of New Jersey, Fidelis Care, Horizon NJ Health, UnitedHealthcare Community Plan, and Wellpoint.

Programs that pay for care at home

New Jersey EVV, from the state

Same rules, same tangle

In New Jersey, the visit still gets typed four more times.

The caregiver taps in. The visit goes to HHAeXchange. Then someone in your office carries it by hand into payroll, into billing, into the chart, and to the family on the phone. Every carry is a chance for the numbers to drift. When they do, New Jersey denies the claim, and you find out weeks later. That is Tangleware™: good tools, and an owner in the middle.

How one tap at the door runs the whole agencyThe mechanism, the nine agents, and Cary®

CareBravo® in New Jersey

Running an agency in New Jersey? Tell us.

CareBravo works with the EVV systems states use, including Sandata, HHAeXchange and Netsmart. Each state approves its own connection, and each program has its own rules, so we confirm what is in place for New Jersey and your programs before you switch anything. If we are not running in New Jersey yet, we will make you an offer to start now while we build it.

Run the Calculator, or ask for the demo and tell us your state.

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Five promises, written like promises.

  1. Nothing stops. Your current system keeps running while CareBravo runs beside it for two weeks on your real data. The Parallel Promise™
  2. 99%, in writing. On Managed Billing, at least 99% of your claims go out without a mistake we caused. If we make one, we fix it free. We cannot promise what a payer decides. Read the guarantee
  3. The floor, stated up front: $250 a month, no seats, no per-user fees, no implementation fee — and corrections never billed twice.
  4. Thirty days’ notice, either way.
  5. Nobody calls unless you ask.

What New Jersey owners ask.

Do I need EVV to get paid in New Jersey?

Yes. DMAHS has required EVV data for claims payment since July 1, 2021, for services like personal care, MLTSS home-based supportive care and DDD in-home services. Home health was added from January 1, 2023. Visits without good EVV records put payment at risk, so fix gaps quickly.

Do all five health plans bill EVV services the same way?

No. DMAHS publishes separate billing flows, including paths through the state EVV system and through plan partners. Check each plan’s current EVV billing instructions and DMAHS’s billing-flow documents before you submit, and keep visit records complete for every plan.

Which plans pay for home care in New Jersey?

Five NJ FamilyCare plans: Aetna Better Health of New Jersey, Fidelis Care, Horizon NJ Health, UnitedHealthcare Community Plan, and Wellpoint. You need a contract with each plan whose members you serve, on top of your Medicaid enrollment.

Where can I get EVV training?

DMAHS lists free EVV trainings on its EVV page, including sessions on October 27 and November 10, 2026. Sign up early, since seats can fill. For questions, email the New Jersey EVV mailbox at mahs.evv@dhs.state.nj.us or fill in the online EVV help form linked from that page.

Sources for this guide

Checked 28 Oct 2026. State rules change. Confirm with the New Jersey Department of Human Services, Division of Medical Assistance and Health Services (DMAHS), which runs NJ FamilyCare. The Division of Aging Services and the Division of Developmental Disabilities run related programs. before you act.

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Find out what the tangle costs your agency.

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We email you the highlights the moment you ask. No call. Nobody calls unless you ask.

See What’s Draining Your Agency →View the demo