MedicaidAdministrativeHigh impact
Newsletter Vol. 31, No. 09
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. This federal mandate under the 21st Century Cures Act requires electronic verification of visits before claims can be processed and paid.
Action Required
Immediately: All providers billing PCA services must implement Electronic Visit Verification (EVV) system before submitting claims. Contact NJ MMIS to set up EVV compliance for your practice. Claims for PCA services will be denied without proper EVV documentation. Update billing workflows to include EVV verification step before claim submission.