MedicaidAdministrativeHigh impact

Newsletter Vol. 33, No.12

Q: Who is affected by this change?

This affects New Jersey Medicaid Physical Therapy, Occupational Therapy, Wound Care providers in NJ on Medicaid plans.

New Jersey Medicaid·NJ · Physical Therapy, Occupational Therapy, Wound Care·Reimbursement

Effective date

Not stated

We identified it

Jun 20, 2026

Days to comply

—

Summary

New Jersey Medicaid and NJ FamilyCare providers billing for home health care services must now comply with Electronic Visit Verification (EVV) requirements under the 21st Century Cures Act. Claims payment will be contingent on proper EVV submission for applicable home health services.

Action Required

Action needed

Immediately: Home health providers must implement Electronic Visit Verification (EVV) system for all Medicaid/NJ FamilyCare home health services subject to EVV mandate. Billing team must verify EVV compliance before submitting claims as payment will be contingent on proper EVV documentation. Contact NJ MMIS for EVV system requirements and setup instructions.

Related policy hubs

New Jersey Medicaid policies NJ policy changes Physical Therapy Occupational Therapy Wound Care