New Jersey Medicaid Billing For Home Care Providers
Medicaid is a high-volume market for home and community-based care, but it often comes with strict EVV compliance requirements and payer-specific billing rules. Paradigm streamlines the process—automating claims, preventing denials, and ensuring your agency gets paid on time.
Frequently Asked Questions
Yes—if your state contracts with multiple Medicaid managed care organizations, you generally need to credential with each one individually to bill for services.
In most states, the same Medicaid provider ID is used for both state plan and waiver services, but some states may assign a separate ID or require an additional enrollment step.
A common timeframe is 60–120 days, though the exact timeframe varies by state and can be longer if applications are incomplete or require corrections.
You must apply through your state Medicaid agency, typically by completing a provider enrollment application and submitting required documentation such as licenses, background checks, and insurance. Some states also require training or orientation specific to HCBS waivers.
How Paradigm can Help
Paradigm offers a combination of tech and highly skilled people to bridge the gaps in:
We don’t stop at submission. We scrub claims, verify all documentation, manage denials, and post payments so your team can stay focused on care.
& Eligibility
We don’t stop at submission. We scrub claims, verify all documentation, manage denials, and post payments so your team can stay focused on care.
Credentialling
We don’t stop at submission. We scrub claims, verify all documentation, manage denials, and post payments so your team can stay focused on care.
We don’t stop at submission. We scrub claims, verify all documentation, manage denials, and post payments so your team can stay focused on care.
We don’t stop at submission. We scrub claims, verify all documentation, manage denials, and post payments so your team can stay focused on care.
"Paradigm has been a tremendous help for managing and growing my business. They are the payer gurus in this industry.”
“Prior to partnering with Paradigm, our VA billing was an ongoing stressor in the office. Working with Paradigm was the best choice we could have made.”
“We’re growing quickly. . . using Paradigm has taken a lot of work out of our hands and the customer service response time is fantastic.”
"Paradigm make the process incredibly simple and efficient, especially when we have any type of billing issue. I don't know if I could handle our VA caseload if it wasn't for them!"
“I’ve been using Paradigm for two years now. They are very responsive and have EXCELLENT customer service. I highly recommend them.”
"In the past, some payments would show up 2-3 months after services were provided; with Paradigm in place, all VA payments arrive just a week after billing is concluded."
“Paradigm makes my life so much easier with automated billing. Gives me time to focus on other critical areas.”
"Paradigm handles all of our current billing; our claims are submitted timely and correct. Most importantly, we're being paid quickly and accurately for our work!"
