By now, if you work in the Health or Human Services industries, you have definitely heard about the Electronic Visit Verification (EVV) requirement set forth by the 21st Century Cures Act.
At eVero, we want to ensure that all organizations are in full compliance with EVV. Below, we have shared some information on the benefits of Electronic Visit Verification, as well as tips for its successful implementation at your workplace.
In addition, we released an EVV Readiness Questionnaire in order to gauge the general preparedness of Provider Agencies for the quickly-approaching cut-off date to have their EVV systems registered and implemented.
First and foremost, the federal go-live date for EVV is currently set for January 1st, 2021 (after having been pushed back one year, from January 1st, 2020). This means that nationwide, all Medicaid-reimbursed Agency Providers must have their Electronic Visit Verification systems in place and ready to go no later than this date.
For Provider Agencies in New York, you may begin registering your selected EVV solution with the NY State Aggregate system. You can find a high-level timeline for the progression of EVV in New York State on the Department of Health website.
We have already walked you through the basics of the 21st Century Cures Act, EVV, and whether or not it applies to your organization (which we recommend checking out if you are brand new to the topic of EVV). Beyond this, it is most vital to understand that the Cures Act requires all services paid for by Medicaid to implement Electronic Visit Verification.
Hint: If you are involved with New York Self-Direction, CDPAP, or Medicaid personal care services (PCS) and/or home health care services (HHCS), you are required to implement an EVV system.
Are you involved in New York’s Self-Direction Program? Does your FI agency handle Medicaid personal care services (PCS) or home health care services (HHCS)? If so, you are required to implement an Electronic Visit Verification system.
In accordance with the Cures Act, each state will have its own deadline(s) regarding exactly when this implementation must be completed, depending on the status of good faith effort (GFE) extension requests.
You can learn more about the GFE extension requests by state by visiting the Medicaid website.
EVV captures the real-time start and end of a care session, as well as the location of where the service is occurring. By verifying this key information about health care services, Providers can ensure that recipients are getting proper care.
In order to be compliant, you need to have electronic proof of the following items:
Most states have chosen to implement an open EVV model (such as the Provider Choice Model or Open Vendor Model). The open EVV implementation models allow for Provider Agencies to choose their own preferred technology solution. This means that in states such as New York, an organization will need to be familiarized with the different EVV systems that are available to them.
It is important to remember that individual states may have their own regulations on EVV. You can learn more about your state’s EVV mandates by reviewing the available documentation on the Partnership for Medicaid Home-Based Care (PMHC) website.
Overall, EVV allows for a more comprehensive and accurate care solution, which benefits both providers and recipients of care services.
The obvious benefit of Electronic Visit Verification is that it reduces fraud and abuse, which indirectly assists with billing, quality assurance, and compliance. Beyond this, there are a number of other benefits:
Cost Reduction & Efficiencies
Improves the Quality of Care Delivery
One Complete, Comprehensive Solution with eVero
The successful implementation of EVV requires a number of key concepts to keep in mind, especially for the sake of the person receiving care services:
One of eVero’s leading experts in EVV held a virtual presentation this summer with the Interagency Council (IAC) in which we discussed getting New York Provider Agencies ready to go before the January 1st, 2021 deadline.
During the presentation, we shared some additional resources for overall EVV Readiness, which we invite you to review:
If you use eVero, you’re already EVV compliant!
Different methodologies for EVV have been built directly into our platforms.
eVero EMPOWER™ for Self-Direction and eVero digitalAGENCY™ EHR both include Web-based EVV, Mobile App-based EVV, GPS-based EVV, Telephony Visit Verification (TVV), and FOB/Point-of-Access EVV where applicable. With our EVV capabilities, we hope to address the accessibility and environmental needs of all Individuals and care staff.
We are always rolling out new features and enhancements, as well.
These updates occur regularly, and are based directly on user input, partner suggestions, regulatory guidance from OPWDD, and community feedback.
If you have any questions relating to EVV, eVero is here for you!