New Jersey Medicaid: 2 Easy Ways to Submit HCBS T1001 Claims Electronically

Effective October 1, 2024, home- and community-based service (HCBS) providers in New Jersey will now have two options for filing claims. These claims include CPT® codes T1001 (evaluation) and T1001 with modifier 76 (re-evaluation).

These two methods are introduced to streamline the process and make the claim submission process faster.

Providers Will Now Have Two Options Mentioned Below:

• HHA eXchange (HHAx): An electronic visit verification system will allow you to enter a claim electronically.
• United Healthcare Provider Portal: It is an online portal designed for providers to send claims directly to the United Healthcare Community Plan of New Jersey.

With the help of online claim filing for nurses, the assessment will also aid Medicaid patients and HCBS providers. It will decrease the time and effort required to fill out claims by hand, allowing doctors to spend more time providing good care. Plus, electronic payments will be quicker and more accurate.

HCBS providers should check out the United Healthcare Community Plan of New Jersey information or contact their representative to learn more about the new online claim submission options and rules.

Please email and connect with the HCBS team at NJ_HCBS_PR@UHC.com.