An Introduction To Electronic Visit Verification (EVV)

By | 04/17/2018

We started hearing about Electronic Visit Verification (EVV) earlier this year when the first phase rolled out to specific sections of Medicaid providers in January 2018. We know this is a significant change in how our customers do business. We’re committed to making the transition to EVV as simple and integrated with your current Advisor system, as possible.

EVV is an electronic system that captures the start and end times of a service and the GPS location of the provider at that time. Prior to billing, that information must be approved by the individual or guardian and then compared to the billing claim that was submitted for payment. The claim is approved if it matches the information collected by the electronic system or denied if it does not match.

Center For Medicaid Services (CMS) established the EVV requirements for all states in accordance with the 21st Century CURES Act. The goals are to decrease billing errors and ensure quality of services.

This will impact both agencies and independent providers who provide Homemaker/Personal Care (HPC) Services funded by the Level One, Individual Options or the SELF Waiver.

The latest information we have from the DODD & CMS workgroup meeting held on March 21st, 2018, says that Day Services and DRA sites will not be subject to verification.

We are in the initial phases of making Advisor & Advisor Anywhere an Alternate EVV System. Together, these systems already meet many of the requirements including:

  • Assigning unique identifiers for each user.
  • Using mobile GPS technology to collect GPS coordinates.
  • Allowing providers to make manual entries & edits.
  • Ability to share & store data for up to 6 years.

Requirements that will need developed include:

  • Integration & sharing with Sandata’s system.
  • Collection of reason codes when a manual entry is made.
  • Process for individuals receiving service to verify entry.

We’ve heard there could be a soft roll out in the second half of 2018, meaning providers could use the system without experiencing denied billing claims. Full implementation goes into effect January 2019 and we are using this date as a deadline in our development process.

 

As more information becomes available we will continue to share with our customers. Please feel free to contact the Support Team with any questions.