To ensure that the Provider community complies with the Cures Act Mandate, New Jersey Department of Human Services (DHS), Division of Medical Assistance and Health Services (DMAHS) is requiring that all Providers, including New Jersey Children’s System of Care (CSOC) to be fully integrated by October 1, 2021.
The HHAeXchange solution will focus on collecting and reporting EVV compliant data for all personal care services (PCS) for the New Jersey Children’s System of Care (CSOC). As part of the New Jersey Family Care EVV program initiative, we will need to gather more information from your provider agency.
The first step will be to fill out the Provider Enrollment Form listed below as you are identifying yourself as a CSOC provider: CSOC Provider Enrollment Form
This questionnaire is designed to capture information about your provider agency necessary for New Jersey DCF along with HHAeXchange as part of the effort to implement methods of collecting and reporting EVV compliant data for all personal care services related to CSOC. Below you will find more information on each method of EVV data collection.
Your provider agency plays a vital role in the success of our EVV program. As part of your participation with New Jersey Department of Children and Families (DCF), you have multiple options provided to you to ensure EVV compliance:
HHAeXchange Overview (applicable to ALL providers):
Information Sessions are being held for all providers to provide them with key dates and details about the implementation, including key workflow changes, system benefits, and next steps. Please refer to the links below to access videos and presentations from the Provider Info Sessions, held via webinar in August-September 2021.
HHAeXchange is offered at no cost to the providers. Here is a look at some of the benefits you will get if you choose the HHAeXchange Portal as your EVV solution.
Please Click Here for Additional Training Webinars.
Please visit the Provider Portal Resource Page in the HHAeXchange System Support Center to view additional previously recorded webinars.
EDI Provider Rebilling Job Aid: This job aid provides guidance to the various rebilling scenarios for EDI Providers. This aid can also be found in the provider portal resources page in the HHAeXchange support center.
(Note: This is not required for agencies using an EDI Import file to integrate with their 3rd Party Agency Management System) To assist organizations with a large census of Caregivers, HHAeXchange has created a Caregiver Bulk Import tool to expedite the entry process. Please CLICK HERE to access the Caregiver Bulk Import Process Guide, which provides instructions for how to:
EDI Overview (Integrating with a 3rd Party Agency Management System)
Thank you for your participation in working with HHAeXchange on the Electronic Data Interchange (EDI) project for your agency. Note, this process applies specifically for providers that chose option 1, found on the “Overview” tab above. Below you will find information about the general requirements and steps to take to successfully integrate your 3rd Agency Management System with HHAeXchange. To integrate between your 3rd Party Agency Management System and HHAX, providers will be required to comply with both the business requirements and technical specifications listed below. Upon review of the documents below, please initiate contact with HHAX to begin the integration process Initial steps EDI providers should follow:
*DISCLAIMER– For CSOC providers, please note that you will use the same integration API/BRD form that has been used for the previous New Jersey DMAHS implementation. Please disregard mention of DMAHS or MCOs.
What is HHAeXchange?
HHAeXchange is the premiere Homecare Management Software company for the Medicaid non-skilled LTSS population. We are the leaders in connecting payers and homecare agency providers to enable more collaboration, communication, and workflow efficiencies.
What are the benefits of the HHAeXchange Portal?
Ease of billing
What if we would like to use HHAeXchange’s free EVV System?
Through the HHAeXchange Portal, New Jersey CSOC is offering free telephony for clock-in and clock-out functionality, including capturing completed plan of care duties. Each agency who has indicated they’d like to use HHAeXchange’s free EVV system will be set up with a toll-free 800 number to provide to their caregivers. A caregiver will also be given the option to download the free HHAeXchange Mobile App available for both iPhone and Android users that can be used to clock-in and clock-out, review patient information and visit information.
How will the free HHAeXchange EVV System work?
What if we have an EVV System that we’d like to keep?
It is simple to connect your existing EVV system with your payer(s), through the HHAeXchange Portal. Ensure that you’ve completed the survey, and review the EDI welcome packet. Upon reviewing the welcome packet, please submit a ticket to the HHAX EDI support email at: [email protected] with the subject ‘NJ EVV’. The HHAeXchange Integrations Team will coordinate with you to create an interface to process for your existing EVV visits. If my payer(s) plans to utilize or is currently utilizing the HHAeXchange portal, what information will my payer(s) send to my agency through the HHAeXchange Portal? Your payer(s) will be sending new placements, authorizations, and all communications through the HHAeXchange Portal. Additional information may be sent as deemed necessary by the payer.
How will the HHAeXchange Portal bill payer(s)?
All claims will be created through the HHAeXchange Portal and sent electronically via an 837 eBilling file. Agencies will then receive an 835 eRemittance file back into the HHAeXchange Portal.
Can I check my claims before submitting them to the payer through the HHAeXchange portal?
Yes. The HHAeXchange Portal provides a Prebilling Claims Scrubbing module designed to ensure that your claims are compliant with the authorization and the payer contract.
Can I schedule my caregivers through the HHAeXchange Portal?
Yes. You’ll be able to schedule your caregivers through the HHAeXchange Portal either by creating schedules based on the authorization provided by the payer, or through automatic creation of schedules based on EVV data imported into the HHAeXchange Portal from your 3rd party EVV system.
How will I be trained on the HHAeXchange Portal?
The person within your organization that filled out the survey will receive more information to identify super users and for training planning.
Can I import and export data into the HHAeXchange Portal?
Processes for importing and exporting data from the HHAeXchange Portal can be found on this page under the “EDI PROCESS” tab.
Provider Services in Scope: Please see below all the provider services in scope for this implementation.