HHAeXchange Alternative in New Jersey: Third-Party EVV Vendors
Compare a third-party EVV vendor with New Jersey's state-sponsored HHAeXchange system for personal care: CareBridge plans and the work left by hand.
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State-Sponsored HHAeXchange or a Third-Party EVV Vendor?
Sagar Kumar, COO and Co-Founder, Verveware
Looking for an HHAeXchange alternative in New Jersey? NJ homecare agencies can use a third-party EVV vendor, or they can use the state-sponsored HHAeXchange system that the NJ Division of Medical Assistance and Health Services (DMAHS) provides. Either way, HHAeXchange is the state's EVV vendor and aggregator. The state system focuses on EVV. These aren't listed among its features in the official NJ sources we reviewed:
Billing and claims submission
Payroll hours export
Care notes
Private-pay clients
Training tracking
Verveware adds billing for state/Medicaid, MCO and private-pay clients alongside EVV.
Which NJ Homecare Services Need EVV
According to the DMAHS EVV FAQ, EVV has applied to personal care services in NJ FamilyCare since January 1, 2021. Services include:
Agency Personal Care Assistance (PCA)
MLTSS Respite and Home-Based Supportive Care
DDD Individual Supports, Community Based Supports and In-Home Respite
Self-directed services
Live-in caregivers are exempt. New to EVV? See what an EVV system is.
Examples of the non-medical codes in HHAeXchange's NJ specifications include T1019 for PCA (with HQ for group and SE for self-directed), T1005 for DDD in-home respite and S5130 for MLTSS Home Based Supportive Care.
What the State-Sponsored System Covers
The state-sponsored HHAeXchange system captures visits by the member's landline, a smartphone app or a fixed device in the home. Manual entry is allowed, but it counts against the 80% standard described below. HHAeXchange aggregates EVV data from providers and managed care organizations, and MCOs use that data to adjudicate claims.
Your agency is still responsible for approving timesheets.
Not every plan routes through HHAeXchange. The DMAHS FAQ (from 2020) lists three options:
Your existing EVV system.
Health-plan EVV tools. HHAeXchange is listed for WellCare, Aetna, UnitedHealthcare Community Plan and fee-for-service. CareBridge is listed for Horizon and Amerigroup, which is now Wellpoint.
The DMAHS-provided HHAeXchange tools.
That FAQ dates from 2020. DMAHS's current list of health plans names Aetna Better Health of New Jersey, Fidelis Care, Horizon NJ Health, UnitedHealthcare Community Plan and Wellpoint (formerly Amerigroup New Jersey). Confirm each plan's current EVV vendor.
The 80% EVV Standard Starting January 2027
According to a September 24, 2026 NJ Human Services press release, starting January 1, 2027, providers serving NJ FamilyCare managed care members must electronically verify at least 80% of EVV-required visits. For homecare agencies, the rule covers personal care assistance (PCA) visits. If you manually edit or confirm more than 20% of those visits, you won't meet the standard. October 1 through December 31, 2026 is an introductory period. Compliance is measured monthly, and the state may recoup payments for billed units without a matching EVV visit.
For PCA agencies, that makes clean clock-ins and clock-outs by your caregivers a payment issue, not just a paperwork issue.
What You Still Do by Hand
None of these are listed among the state system's features. Here's the manual work they leave.
Billing and claims. By hand: you build and submit claims to each MCO and to fee-for-service, work through rejections, and match payments back to visits.
Private-pay clients. By hand: private-pay clients need their own scheduling, records and invoicing outside the state system.
Payroll hours. By hand: every pay period, you pull visit hours, check them, and re-key them into your payroll system.
Care notes and documents. By hand: notes and files live in shared drives, on paper or in another app.
Training records. By hand: you track when each caregiver took a training, when the next one is due, and where the certificate is.
None of this is a criticism of HHAeXchange. The state system is built for EVV and aggregation. The question is who handles the rest.
How a Third-Party EVV Vendor Connects in NJ
HHAeXchange's NJ business requirements describe the process:
Your agency completes the HHAeXchange third-party attestation.
HHAeXchange emails next steps within 2 business days.
Your vendor follows a test plan and gets sign-off.
Your vendor requests production credentials and goes live. This is Phase I certification; a more detailed Phase II certification follows.
The connection is a real-time API using JSON, and caregiver records are sent first. The onboarding contact is EDIsupport@hhaexchange.com, with "NJ EVV" or "NJ API Onboarding Request" in the subject line.
Two rules matter when you plan the move:
One system at a time. You can't use a third-party EVV system and HHAeXchange simultaneously. The same system must cover all EVV services under a provider number.
Costs. DMAHS and HHAeXchange aren't responsible for third-party implementation or integration costs.
For a comparison in another state, see our HHAeXchange alternative in Illinois post. If you're thinking about switching, see how implementation works.
What a Third-Party EVV Vendor Adds
Ask yourself:
How many hours go into claims, rejections and payroll prep?
Can you find care notes and training records quickly?
Do you serve private-pay clients?
Verveware's EVV software includes:
Real-time EVV compliance-rate tracking, so you can see where your visits stand.
A caregiver mobile app for EVV clock-in and clock-out.
Scheduling and case notes in one place.
Document storage.
Billing for state/Medicaid, MCO and private-pay clients, including MCO billing and private-pay billing.
Payroll hours export to ADP, Paylocity and QuickBooks. Verveware exports the hours; your payroll provider runs payroll.
Billing is not listed among the state system's features; with Verveware, EVV and billing run in one system. These tools support your records. They don't replace documentation required by DMAHS or your health plans.
FAQ
Do I Have to Use HHAeXchange for EVV in New Jersey?
No. DMAHS allows agencies to use their existing EVV system, health-plan EVV tools, or the state-sponsored HHAeXchange system. HHAeXchange is the state's EVV vendor and aggregator. A third-party EVV system connects to it through HHAeXchange's real-time API after attestation and testing.
Is the HHAeXchange EVV System State-Sponsored in New Jersey?
Yes. DMAHS provides the HHAeXchange EVV system to providers as the state-sponsored option. DMAHS and HHAeXchange aren't responsible for the implementation or integration costs if you choose a third-party EVV system instead, so factor those costs into your decision. Check each plan's current requirements too.
Which NJ Health Plans Use CareBridge Instead of HHAeXchange?
The 2020 DMAHS EVV FAQ lists CareBridge for Horizon and Amerigroup, which is now Wellpoint. DMAHS's current plans are Aetna Better Health of New Jersey, Fidelis Care, Horizon NJ Health, UnitedHealthcare Community Plan and Wellpoint. Arrangements may have changed since 2020, so confirm each plan's current EVV vendor.
Can I Use HHAeXchange and Another EVV System at the Same Time?
No. HHAeXchange's NJ business requirements say simultaneous use of a third-party EVV system and HHAeXchange isn't possible. The same EVV system has to cover all EVV services under your provider number, so plan a clean switch from one system to the other.
Which Services Need EVV in New Jersey?
Per the DMAHS FAQ, EVV covers agency Personal Care Assistance, MLTSS Respite and Home-Based Supportive Care, DDD Individual Supports, Community Based Supports and In-Home Respite, and self-directed services. Live-in caregivers are exempt. EVV for personal care has been required since January 1, 2021.
What Is the NJ 80% EVV Requirement?
Starting January 1, 2027, providers serving NJ FamilyCare managed care members must electronically verify at least 80% of EVV-required personal care assistance (PCA) visits. Manually editing or confirming more than 20% fails the standard. October through December 2026 is an introductory period, and the state may recoup payments without matching EVV.
See Verveware With Your New Jersey Workflow
Request a Verveware demo to see EVV, scheduling, case notes, billing and payroll hours export together for your agency. Book a demo.
