Find & Ask › New Jersey › this rule

Summary of the NJ EVV Process and Frequently Asked Questions for Home Health Care Services - Volume 33 No. 14

New Jerseysub_regulatoryNJ Department of Human Services, Division of Medical Assistance & Health Services (DMAHS)

What this rule requires your agency to do

  • 1Providers must maintain clinical service detail separately from EVV, and work with payers to resolve gaps to reach a 100% compliance rate (only the EVV-matched percentage of units is paid).(Summary of the NJ EVV Process and Frequently Asked Questions for Home Health Care Services - Volume 33 No. 14)
  • 2Effective October 1, 2023, HHAeXchange and all EDI vendors must enforce a 300-foot tolerance range between the member's servicing address and the provider's clock-in location; visits outside 300 feet must be manually confirmed with an applicable exception code.(Summary of the NJ EVV Process and Frequently Asked Questions for Home Health Care Services - Volume 33 No. 14)
  • 3EVV tools must allow a minimum 10-minute scheduling variance without requiring a manual override.(Summary of the NJ EVV Process and Frequently Asked Questions for Home Health Care Services - Volume 33 No. 14)
  • 4Providers must include the servicing provider's license and/or certification number in the EVV aggregation system for PCS and HHCS (CHHA, RN, LPN, PT, Cognitive Therapists, OT, ST), and nurses must use the appropriate NJ Board of Nursing license (no out-of-state license after January 1, 2023).(Summary of the NJ EVV Process and Frequently Asked Questions for Home Health Care Services - Volume 33 No. 14)
  • 5Covered home health and personal care services (PCA agency/PPP self-direction, MLTSS Home-Based Supportive Care and In-Home Respite, DDD supports) must use EVV, capturing the six required data elements.(Summary of the NJ EVV Process and Frequently Asked Questions for Home Health Care Services - Volume 33 No. 14)

Applies to: cross-cutting

DMAHS newsletter summarizing the NJ EVV process, integration options, compliance calculation, authorization/billing, licensing requirements, and operational rules (shift variance, overlap, 300-foot tolerance) for home health services.

Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.