MedicaidAdministrativeMedium impact
Newsletter Vol. 31, No.21
New Jersey Medicaid·NJ · Physical Therapy, Occupational Therapy·Reimbursement
We identified it
Jun 20, 2026
Summary
New FAQ guidance addresses Electronic Visit Verification (EVV) claims payment requirements for AHR, IIH-B and ISS service providers under the Federal 21st Century Cures Act mandate. This affects providers who must comply with EVV requirements for certain home and community-based services.
Action Required
Immediately: Review the full newsletter at https://www.njmmis.com/documentDownload.aspx?document=31-21.pdf to understand EVV claims payment requirements. Billing team should verify EVV compliance for AHR, IIH-B and ISS service claims before submission. Update workflows to ensure proper EVV documentation is attached to affected claims to avoid payment delays or denials.