MedicaidAdministrativeMedium impact
Newsletter Vol. 31, No.29
New Jersey Medicaid·NJ · Psychiatry·Coding
Effective date
Oct 1, 2021
We identified it
Jun 20, 2026
Summary
New Jersey requires providers of Intensive-In-Home Behavioral services to use Electronic Visit Verification (EVV) through HHAeXchange system for claims processing. Bundled codes CSC30-CSC34 are temporarily exempt and continue billing through Gainwell while HHAeXchange develops a solution.
Action Required
New Jersey providers billing Intensive-In-Home Behavioral services: Continue submitting bundled codes CSC30, CSC31, CSC32, CSC34 through Gainwell system. For all other IIH-B services using codes H2015, H2016, T2021, H0031, 96158, 96159, S9125 - must add members, schedule visits, and confirm visits in HHAeXchange Portal before billing. Contact DCF.EVVCSOC@dcf.nj.gov for EVV questions or NJSupport@hhaexchange.com for portal issues.