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    Home Care, Day Services and Disability Services will continue to be among the most important industries worldwide for the next 2 to 3 decades. The resources provided here are designed to help you learn and grow. Thanks for being home care heroes and day service stars

      About Us

      Ankota creates software for organizations that keep older and disabled people living at home. Our primary products are software for Home Care, Electronic Visit Verification, Adult Day Services, and Long Term Supports and Services (LTSS) for people with Intellectual and Developmental Disabilities. We also support other players in this ecosystem like PACE programs, Area Agencies on Aging (AAAs), Centers for Independent Living (CILs) and more

          Electronic Visit Verification (EVV) in New Jersey

          Click for the Ultimate Guide to EVV

          Electronic Visit Verification (EVV) in New Jersey

          All states: EVV requirements map

          In short: HHAeXchange is the state aggregator, and some plans route visits through CareBridge. Your own EVV software is allowed. Personal care claims have needed matching EVV data since July 1, 2021.

          New Jersey EVV at a glance

          EVV modelOpen. Agencies can use free state or plan tools, or their own EVV software.
          State EVV systemHHAeXchange, the state's EVV contractor, offers free EVV tools for all members.
          AggregatorHHAeXchange (statewide). CareBridge relays visits for the plans that use it.
          Can I use my own EVV vendor?Yes. It must connect to HHAeXchange, and to CareBridge for plans that use CareBridge.
          Are claims denied without EVV?Yes. Agency personal care claims have needed supporting EVV data since July 1, 2021.
          Managed careIt depends on the plan. State documents route Horizon and Amerigroup (now Wellpoint) through CareBridge and the other plans through HHAeXchange.
          Upcoming changeNone found as of our last check.

          Last verified against state sources: 2026-10-08.

          How does EVV work in New Jersey?

          New Jersey uses an open EVV model with HHAeXchange as the statewide aggregator. An agency can use the free HHAeXchange tools that the state provides for all members, the free CareBridge tools that certain managed care plans provide for their members, or its own EVV software connected to the aggregator. The program is run by the Division of Medical Assistance and Health Services (DMAHS), which posts its newsletters and guidance on the DMAHS EVV page.

          EVV arrived in two phases:

          • Personal care (January 1, 2021): Personal Care Assistant (PCA) services, MLTSS Home-Based Supportive Care, MLTSS In-Home Respite, and in-home services from the Division of Developmental Disabilities (DDD).
          • Home health care services (January 1, 2023): skilled nursing, private duty nursing and home health aide visits (the state calls these Cohort 1) and therapies (Cohort 2), when the place of service is the home.

          Each visit has to carry the six federal data elements. New Jersey also requires the license or certification number of the caregiver who delivered the service. DMAHS has published separate newsletters on rounding rules and on multi-factor authentication, both listed on its EVV page.

          For agencies that serve DDD members, the in-home services with EVV include Individual Supports, Community Based Supports, Behavioral Supports, In-Home Respite, and physical, occupational and speech therapy. DDD exempts congregate settings and live-in caregivers, and it requires a Live-In Caregiver Attestation Form for the exemption.

          Which EVV system does my New Jersey Medicaid plan use?

          It depends on who pays for the member's care. In the state's published documents, visits for fee-for-service Medicaid, DDD, Aetna, UnitedHealthcare and WellCare go through HHAeXchange, and visits for Horizon NJ Health and Amerigroup go through CareBridge. CareBridge then relays those visits to HHAeXchange, so the state aggregator ends up holding all of them.

          Important: The plan-by-plan routing on this page comes from state documents dated 2021 to 2023. Amerigroup is now Wellpoint, and we could not read Wellpoint's or CareBridge's current New Jersey pages to confirm that this routing is unchanged. Before you set up or change a workflow, confirm the EVV system and billing steps with each plan you contract with.

          • Fee-for-service Medicaid and DDD: HHAeXchange. The state's billing flow document says the DDD workflows are HHAeXchange and third-party systems only, not CareBridge.
          • Aetna, UnitedHealthcare and WellCare: HHAeXchange. Newer state material lists WellCare as Fidelis Care.
          • Horizon NJ Health: CareBridge.
          • Amerigroup (now Wellpoint): CareBridge. The state's billing flow document also shows a "No Wrong Door" option where visits sent to HHAeXchange are billed by logging in to CareBridge.

          If you use your own EVV software, the practical result is that you normally need two connections to cover every payer: one to HHAeXchange and one to CareBridge. The state's FAQ says third-party systems must connect to HHAeXchange for all payers and also to CareBridge for Horizon and Amerigroup members. Third-party systems also have to meet the HHAeXchange business requirements and technical specifications for New Jersey.

          We did not find a public list of approved or integrated third-party EVV vendors from DMAHS or HHAeXchange. Ask any vendor you are considering to show which of the two connections it has in place for New Jersey.

          Self-directed programs work differently. In the Personal Preference Program, workers use the EVV tool of the fiscal intermediary chosen by the member's plan, and there is no agency choice of system.

          Does New Jersey deny Medicaid claims without EVV?

          Yes. Since July 1, 2021, DMAHS has required 100 percent of agency personal care claims to be supported by verified visit data. Home health care services followed in 2023 with their own billing deadlines. A visit that was delivered but is not supported by EVV data is a visit that does not get paid.

          • July 1, 2021: agency claims for PCA, MLTSS Home-Based Supportive Care, MLTSS In-Home Respite and DDD in-home services must be supported by EVV data. DDD told its agencies that billing through HHAeXchange was required by this date, and that an agency unable to bill through HHAeXchange cannot bill EVV-impacted services.
          • January 1, 2023: EVV required for all home health care service visits.
          • August 1, 2023: the EVV billing process and the rendering provider's license or certification number became required on Cohort 2 (therapy) claims.
          • October 1, 2023: the same became required on Cohort 1 (skilled nursing, private duty nursing and home health aide) claims.
          • June 24, 2024: HHAeXchange states that fee-for-service home health agencies had to be fully integrated by this date.

          How the claim is created also depends on the payer. In the state's billing flow document, HHAeXchange generates the claim for fee-for-service, DDD, Aetna, UnitedHealthcare and WellCare, and CareBridge generates it for Amerigroup. Horizon is billed directly by the provider, and the claim is checked against the visit data in CareBridge and denied if the visits do not support it.

          Payment follows the units that EVV confirms. A state newsletter gives the example of a claim for 80 units where only 68 were confirmed by EVV, so 68 units (85 percent) were paid. For services authorized under Medicare or a D-SNP, the state says EVV data is still required but plans do not have to link billing to it.

          What is changing next for New Jersey EVV?

          We found no upcoming change for agency EVV in New Jersey as of our last check. The DMAHS EVV page lists no newsletter or notice dated after August 2023, and the HHAeXchange pages for New Jersey show no 2025 or 2026 change. We found no announced change to the state aggregator.

          One recent change affects self-direction and not agencies. Horizon NJ Health moved its Personal Preference Program participants to a new fiscal intermediary, and the state reported that move as complete in June 2026. The other plans had announced no change of fiscal intermediary as of that report.

          Because the plan-level routing rests on older state documents, the most likely place for a change to show up first is a managed care plan's own provider notices. Check those along with the DMAHS EVV page.

          Get notified when New Jersey EVV rules change

          Leave your email and we will let you know when New Jersey changes its EVV requirements. No newsletter, only changes for this state.

          Who to ask about New Jersey EVV

          Questions about New Jersey EVV rules are best put to the state. Start with NJ DMAHS: Electronic Visit Verification.

          New Jersey EVV sources

          Related reading

          Other states that use HHAeXchange

          Illinois, Michigan, Minnesota, Mississippi, Texas, West Virginia. See every state on the EVV requirements map.

          Page history

          • October 8, 2026: Page rewritten and checked against state sources.

          This page is a reference, not legal advice. State rules change, so confirm details with the state before you act on them.

          Ankota provides EVV software for Medicaid home care agencies. If you would like to talk through New Jersey's requirements, contact Ankota or read more about Ankota's EVV software.

          New-Jersey

          Ms. Jennifer Langer Jacobs
          Division of Medical Assistance and Health Services
          New Jersey Department of Human Services
          7 Quakerbridge Plaza, PO Box 712
          Trenton, NJ 08625-0712

          Questions about EVV?

          EVV is still to be implemented in most of the states with different guidelines and regulations. We’re keeping up with the updates related to EVV implementation and if there is something we haven’t included, please share with us. To learn how ankota can help in ensuring compliance, please get in touch with us.

          New Jersey EVV questions

          Who is the EVV aggregator in New Jersey?

          HHAeXchange is New Jersey's statewide EVV aggregator and the state's EVV contractor. CareBridge collects visits for the managed care plans that use it and relays them to HHAeXchange, so all visit data ends up with the state aggregator.

          Can I use my own EVV software in New Jersey?

          Yes. New Jersey is an open model state, so an agency can use its own Electronic Visit Verification software in place of the free tools. The software has to connect to HHAeXchange for all payers and also to CareBridge for members of the plans that use CareBridge, so two connections are normally needed to cover every payer.

          Which New Jersey Medicaid plans use CareBridge for EVV?

          State documents name Horizon NJ Health and Amerigroup, which is now Wellpoint, as the plans that use CareBridge. Those documents date from 2021 to 2023 and we could not read Wellpoint's or CareBridge's current New Jersey pages, so confirm the current setup with each plan. Fee-for-service Medicaid, DDD, Aetna, UnitedHealthcare and WellCare are listed with HHAeXchange.

          Does New Jersey deny Medicaid claims without EVV?

          Yes. Since July 1, 2021 the state has required 100 percent of agency personal care claims to be supported by verified visit data. Only the units confirmed by visit verification are paid, and Horizon denies a claim when the CareBridge visit data does not support it.

          Which New Jersey services require EVV?

          Visit verification has applied since January 1, 2021 to Personal Care Assistant services, MLTSS Home-Based Supportive Care, MLTSS In-Home Respite and DDD in-home services. Since January 1, 2023 it has also applied to home health care services delivered in the home, including skilled nursing, private duty nursing, home health aide visits and therapies.

          When did EVV billing rules start for New Jersey home health agencies?

          EVV was required for all home health care service visits from January 1, 2023. The EVV billing process and the rendering provider's license or certification number became required on therapy claims from August 1, 2023 and on skilled nursing, private duty nursing and home health aide claims from October 1, 2023. HHAeXchange states that fee-for-service home health agencies had to be fully integrated by June 24, 2024.

          Are live-in caregivers exempt from EVV in New Jersey?

          For DDD services, yes. DDD exempts live-in caregivers and congregate settings and requires a Live-In Caregiver Attestation Form. The Personal Preference Program also exempts live-in caregivers when the documentation is kept current. We did not find a statement covering live-in caregivers for other agency services, so check with DMAHS or the member's plan.

          Is New Jersey changing its EVV vendor or aggregator?

          We found no announced change as of our last check. The DMAHS Electronic Visit Verification page lists nothing dated after August 2023, and the HHAeXchange pages for New Jersey show no 2025 or 2026 change.

          I need more help with EVV

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