Electronic Visit Verification: What is EVV and who all fall under 21st Century Cures Act’s Radar

Please Share!
MyGeoTracking

MyGeoTracking

In December 2016, the 21st Century Cures Act was signed by President Obama which had the majority of the support from both parties in the Senate. Part of this bill, section 12006, encourages the state agencies to implement Electronic Visit Verification System (EVV System) for Personal Care Services (PCS) and Home Health Care Services (HHCS) under Medicaid.

What is EVV (Electronic Visit Verification)?

As the name suggests, it is a process which uses electronic means to verify visits during PCS and HHCS conducted as a part of services provided related to:

1. Date of service provided
2. Time of service provided (start and end times)
3. Type of healthcare service performed
4. Location of the service provided
5. Information of service provider (individual’s details)

Making the Right EVV Choice for Your Home Care Agency

Electronic visit verification systems work on different underlying technologies which can be divided into three different parts:

1. Biometric Recognition
2. Telephony
3. Mobile Technology (Phones & Tablets)

Let’s take a closer look at these three types of EVV systems.

Biometric Recognition

This type of EVV solution uses a dedicated hardware device which is used to record caregiver’s scan of fingerprints or record voice samples to register visit.

While biometric recognition may seem like a good solution to comply with EVV at first, this system has some drawbacks. The biometric devices are costly and each care recipient has to have a dedicated biometric device installed on their premises. It can be an inconvenience to both the business and the patient.

Telephony

Telephony method is commonly used in the home setting and doesn’t require the companies to install or service any devices. To record a visit with this method, the caregiver uses a recipient’s landline phone to dial a toll-free number at the start and completion of service delivery.

Based on a recent National Health Interview Survey (NHIS), it was found that almost half of the US household do not have a landline and are rapidly losing relevance. Smartphones have taken over and landlines are becoming obsolete. The decline of landlines makes this option historical and therefore a weak contender as an effective EVV solution.

Mobile Technology (Phone & Tablets)

This is the latest EVV solution that uses smartphones and tablets to record visits via an app. Smartphones and tablets are constantly evolving and are becoming more powerful, and with increasing maturation and affordability of key technologies like mobile apps, devices, sensors, and cloud technology, the mobile technology offers the newest and the most future-proof EVV option.

These more comprehensive Electronic Visit Verification solutions go far beyond simple proof of visit. Mobile technology EVV solutions frequently combine mobile applications with back-office portals, providing additional functionalities. Apart from visit verification, any GPS-enabled phones and tablets can be used to do some of the following functions:

● Capture data from the field: Signature, Notes, Photos and more.
● Provide Payroll Timekeeping for caregiver.
● Multi-channel visit verification: Geofence, IVR, Text Messaging and Manual Clocking through App.
● Generate reports for documentation and audit.
● Track mileage and other costs.
● Monitor caregiver’s safety.
● Multiple language support through a customizable mobile app.

To sum up, EVV using mobile devices and apps present a seamlessly fast, easy, secure, error-free and future-proof verification solution for both our customers and their caregivers.

According to medicaid.gov, the official website of US Government, states must implement the use of EVV for all Medicaid-funded PCS by January 1, 2020 and HHCS by January 1, 2023. Failure to which is subjected to incremental FMAP reductions, up to 1%, unless the state has both made a “good faith effort” to comply and has encountered “unavoidable delays.”

While the EVV mandate is a part of the federal 21st Century Cures Act, many states, like Texas, New York, Ohio and Louisiana have added additional requirements that providers must adhere to in order to be EVV compliant.

Texas State EVV Requirements

The state of Texas required its Medicaid-enrolled Home Health Agencies to implement the State EVV mandate by June 1, 2015, more than one year prior to the passing of the 21st Century Cures Act, and four years ahead of the initial federal deadline (January 1, 2019).

Who Is Affected?

● Certain Managed Care Organizations (MCOs).
● Texas Department of Aging and Disability Services (DADS)
● Certain home and community-based services provided by the Texas Health and Human Services Commission (HHSC)

Reach out to Texas Human Health Services to see if you’re affected by the EVV mandate in case you operate within the following programs:

● STAR Kids
● STAR Health
● STAR + PLUS Dual Eligible Integrated Care Demonstration
● Acute-care Fee for Service
● Community Attendant Services
● Community Living Assistance and Support Services
● Medically Dependent Children Program
● Family Care
● Primary Home Care.

What Do EVV Requirements Mean for Your Business?

● Providers have a strict deadline to input service data.

Home care providers have 60 days to comprehensively enter data into the EVV system from the date the service was performed.

● Providers must use these two methods to record a service.

Healthcare providers must use an EVV system approved by HHSC and use the client’s landline or an approved HHSC alternative device to record the completion of service.

● Free to choose their EVV provider.

Healthcare providers are free to choose their EVV provider as long as they comply with their technical requirements.

● Assessment on the basis of compliance with the EVV mandate.

Your EVV Initiative Provider Compliance Plan score for HHSC must be at least 90% off for each review period.

New York State EVV Requirements

Who Is Affected?

Home care providers with Medicaid fee-for-service and reimbursements services exceeding $15 million per year. Participating providers must be:

1. Long-term home care agency
2. Personal care provider
3. Certified home care agency

What Do EVV Requirements Mean for Your Business?

● Your Verification Organization (VO) and EVV do not have to come from the same vendor.

● Healthcare Agencies have the freedom to choose an EVV solution that fits their needs and complies with NY State EVV standards.

Ohio State EVV Requirements:

Who is Affected?

In Ohio, services included are:

● State Plan Home Health Aide
● State Plan Home Health Nursing
● Private Duty Nursing (PDN)
● Ohio Home Care Waiver Nursing
● Ohio Home Care Waiver Personal Care Aide
● Home Care Attendant
● RN Assessment
● Community Service Providers
● Home-Healthcare providers

What do EVV Requirements Mean for Your Business?

● Adopting EVV may improve your data accuracy

EVV System offers a reliable and accurate means for care providers and home care workers to capture care delivery data in real time while they are providing the services.

● Providers are free to choose their EVV provider

The Ohio Department of Medicaid allows providers to choose their own EVV providers. However, Sandata is the state vendor. If providers choose to use an alternate EVV vendor, the agencies must email ConnectMyEVV@etraconline.net in order to begin the certification process.

● Certification required per provider agency

Each provider agency needs to create a certification process for issuing a provider ID for each agency falling under them.

Louisiana State EVV Requirements

Who Is Affected?

In Louisiana, Medicaid Home and Community-Based Services (HCBS) are:

● Day Habilitation Services
● Prevocational Services
● Center-Based Respite services
● All OCDD Supported Employment Services

What Do EVV Requirements Mean for Your Business?

● The initial implementation of an EVV system will see minimal personal costs.

All costs and ongoing transactional costs associated with the development, implementation, and training of EVV systems will be covered by the state.

● Agencies will be responsible for providing smart devices.

The Louisiana Department of Health believes “utilizing smart devices with internet access is at least cost neutral in many cases and will represent a cost saving to providers”. Some EVV solutions can be accessed through the personal phones of employees, thus eliminating the additional purchase of devices.

● The EVV implementation deadline varies w.r.t. region within the state.

About myGeoTracking

Abaqus, Inc. is a provider of a powerful platform, myGeoTracking, for EVV solution for in-home care providers. myGeoTracking leverages the advancements in the modern technology in the smartphones/sensors, apps, location-based services, and cellular communication to provide you with a scalable and a robust in-home care workforce solution to help meet EVV requirements for Medicaid compliance.

Valerie VanBooven, RN BSN, Editor in Chief of HomeCareDaily.com

Editor in Chief of HomeCareDaily.com at LTC Expert Publications
Valerie is a Registered Nurse, Author, and Co-Owner of LTC Expert Publications. Read More at http://www.LTCSocialMark.com

Latest posts by Valerie VanBooven, RN BSN, Editor in Chief of HomeCareDaily.com (see all)

Summary
Electronic Visit Verification: What is EVV and who all fall under 21st Century Cures Act’s Radar
Article Name
Electronic Visit Verification: What is EVV and who all fall under 21st Century Cures Act’s Radar
Description
In December 2016, the 21st Century Cures Act was signed by President Obama which had the majority of the support from both parties in the Senate. Part of this bill, section 12006, encourages the state agencies to implement Electronic Visit Verification System (EVV System) for Personal Care Services (PCS) and Home Health Care Services (HHCS) under Medicaid.
Author
Publisher Name
HomeCareDaily.com
Publisher Logo
Please Share!