MedicaidAdministrativeHigh impact
Newsletter Vol. 31, No.16
New Jersey Medicaid·NJ·Reimbursement
We identified it
Jun 20, 2026
Summary
New Electronic Visit Verification (EVV) requirements are now in effect for all Medicaid/NJ FamilyCare providers billing for Personal Care Assistant (PCA) services. Claims for PCA services subject to the federal 21st Century Cures Act EVV mandate must now include proper electronic verification to receive payment.
Action Required
Immediately: All providers billing PCA services must implement Electronic Visit Verification (EVV) system compliance per federal 21st Century Cures Act requirements. Billing team must verify EVV data is captured and transmitted for all PCA service claims before submission. Claims without proper EVV will be denied payment.