Regulatory watch
New Jersey EVV requirements and manual edits
- The DMAHS EVV page
- New Jersey Human Services press release of September 24, 2026
- NJ Medicaid newsletters 33-14 (August 2023) and 33-12 (July 2023)
- The NJ EVV fact sheet (December 2020) and the live-in worker attestation (July 2021)
New Jersey EVV in five dates
Personal care went first, home health two years later, and a manual-edit ceiling announced on September 24, 2026 is the newest step.
| Milestone | When | Effect | New Jersey text |
|---|---|---|---|
| Personal care goes live | Jan. 1, 2021. | PCA, MLTSS home-based supportive care and three DDD services start on EVV. | DMAHS EVV page |
| Payment tied to EVV | July 1, 2021. | EVV data becomes a condition of claims payment for those services. | DMAHS EVV page |
| Home health starts | Jan. 1, 2023. | Skilled nursing, private duty nursing, home health and therapies enter EVV. | Newsletter 33-12 |
| Home health billing, nursing cohort | Oct. 1, 2023. | EVV billing route in use, license numbers on claims; therapies did so Aug. 1, 2023. | Newsletter 33-12 |
| 80 percent line | Oct. 1 to Dec. 31. | Introductory period for managed care providers; the line applies from Jan. 1. The release prints no year. | Release, Sept. 24, 2026 |
Every row names its New Jersey source, each one read October 27, 2026.
New Jersey, quoted
The DMAHS EVV page records that the State “issued an official contract award to HHAeXchange, a statewide EVV vendor.” On hand corrections, the September 24, 2026 release is blunt: “Since implementing EVV, the Department has identified providers who manually edit a high volume of visits.” And on where a visit is logged, NJ Medicaid newsletter 33-14 says that from October 1, 2023, if the caregiver is “not within 300 feet of the members servicing location, the visit must be manually confirmed.”
HHAeXchange, CareBridge and the agency’s own system
HHAeXchange holds the State’s EVV contract, per the DMAHS EVV page. In newsletter 33-14 of August 2023, an agency that runs its own product can report every visit to HHAeXchange once and let it route each one to the payer, or build two links, one to HHAeXchange for Aetna, UnitedHealthcare, Fidelis Care and fee-for-service members and one to CareBridge for Amerigroup and Horizon members. The same newsletter has every EVV tool allow at least ten minutes of scheduling variance before a manual override.
Personal care and home health
The DMAHS EVV page dates personal care to January 1, 2021, covering Personal Care Assistance, MLTSS home-based supportive care and three DDD services, with EVV data tied to claims payment from July 1, 2021. Home health followed under NJ Medicaid newsletter 33-12, revised July 2023: skilled nursing, private duty nursing and home health form one cohort and the therapies another, both at place of service 12, the home. The therapies had to use the EVV billing process from August 1, 2023 and the nursing cohort from October 1, 2023, with the rendering nurse’s or therapist’s license or certification number on each claim. The same newsletter repeats that EVV also applies to self-directed services in the Personal Preference Program and the DDD self-directed options.
Live-in workers and how a visit is recorded
The December 2020 fact sheet leaves out workers who live in the participant’s home, family or not. The July 2021 attestation form defines live-in by Department of Labor terms, seven days a week, or at least five days and 120 hours a week, or five consecutive days or nights, and the residence documents behind it are reviewed each year. A visit can be logged by app on the worker’s phone, by a call from the member’s landline, or, for some members where neither a cell signal nor a landline is available, on a free device placed in the home.
Primary texts only
Each statement traces to a DMAHS or New Jersey Human Services text listed at the top. Vendor pages, press coverage and legal commentary played no part, and HHAeXchange’s own New Jersey guides were not opened.
Left outside this reading
NJ Medicaid newsletter 36-09, which the release links for the new rules, was blocked by this network’s filter, so the list of situations excluded from the 80 percent count is not given here. No New Jersey statute or administrative code text on EVV was found, and plan contracts were not read.
LockProof next to New Jersey EVV
HHAeXchange, CareBridge and the health plans get New Jersey’s visits. LockProof photos are meant for someone else: relatives, or clients paying out of their own pocket, wanting to check that the visit happened. Read more about visit-proof tools kept beside EVV plus how a caregiver photo record is built.
When this was read, and other states
This reading of the New Jersey texts dates from October 27, 2026; a newsletter issued afterward could change part of this. Other states are collected in every state we have read so far, and the neighbor to the north is covered on the New York EVV page.
Common questions
Where does GPS fit in New Jersey EVV?
As a working method, yes; as a duty, nothing read here says so. The December 2020 fact sheet says EVV systems use GPS to check date, place and times, yet it also lets a worker without a smartphone call from the member’s landline. NJ Medicaid newsletter 33-14 added a 300-foot distance check on the clock-in spot from October 1, 2023; a visit outside it is confirmed by hand with an exception code.
Whose EVV system do New Jersey agencies log visits in?
HHAeXchange holds the state contract, per the DMAHS EVV page. An agency with its own product has two routes under NJ Medicaid newsletter 33-14 of August 2023: send every visit to HHAeXchange, which passes it to the right payer, or connect to each payer separately, HHAeXchange for Aetna, UnitedHealthcare, Fidelis Care and fee-for-service, and CareBridge for Amerigroup and Horizon members.
What changed in New Jersey EVV in 2026?
A press release from New Jersey Human Services dated September 24, 2026 set an 80 percent line for managed care personal care and home health: at least that share of EVV visits verified electronically, with certain State-identified situations left out of the count. October 1 through December 31 is an introductory period; from January 1, more than 20 percent of visits edited or confirmed by hand falls short. The release prints no year beside those three dates.
What happens to a provider over the 20 percent?
Per the September 24, 2026 release, the State moves in steps: possibly a notice first, then possibly no new referrals, and in the end possible loss of the provider’s managed care contract. The Department measures monthly, the plans report providers over the allowed level of manual edits, and the Department may take back payment for units billed with no matching confirmed visit in EVV.
Does LockProof count as a New Jersey EVV system?
No. HHAeXchange and CareBridge carry New Jersey’s EVV visits. Here as elsewhere, LockProof is not an EVV system. Plans and NJ FamilyCare claims receive nothing from it. A family member, or a client who pays the agency directly, can be sent a dated LockProof photo of a visit, which is a separate thing.
Should a New Jersey agency read this as legal advice?
No. It sets out what DMAHS and New Jersey Human Services had posted when their pages and newsletters were read on October 27, 2026. Newsletter 36-09, which the release links, could not be opened for this page. For one agency’s position, the right people are counsel, the health plan, or DMAHS through its EVV mailbox.