New Jersey Medicaid: 2 options for submitting HCBS T1001 claims

Effective Oct. 1, 2024, home- and community-based service (HCBS) providers can begin submitting nursing assessment claims for CPT® codes T1001 (evaluation) and T1001 with modifier 76 (re-evaluation), using either of the following methods:

• Enter the claim information using the electronic visit verification system HHA eXchange (HHAx)
• Submit claims directly to UnitedHealthcare Community Plan of New Jersey using the UnitedHealthcare Provider Portal

Questions? We're here to help.

Please email the HCBS team at NJ_HCBS_PR@UHC.com.

CPT^® is a registered trademark of the American Medical Association.  

PCA-1-24-02215-POE-NN_08012024