Cures Act Impact on Home Care & Beyond…..
The Electronic Visit Verification (EVV) system has much to do in line with this latest aforementioned act, especially by means of its imposed Section 12006(a). The act was set in place by President Obama at the very end of the year 2013, just in December of that year. It impacts, mainly, the way that certain U.S. states handle their home care, as it can relate to both patient and agency or provider.
And to further state, as a direct result of the Cures Act, the U.S. Secretary of Health and Human Services is now fully required to both collect and then disseminate, by the best means and practices possible, to all State Medicaid Directors as needed. This is all with respect to training all those who are approved to hold PCS, HHCS, or perhaps even both, on their own safe and efficient use of and management of the HVV. It likewise applies to their attempts at fraud prevention and its awareness.
To add, HHCS services (home health services under Medicaid) are affected. As are PCS services (personal care services under Medicaid). The Act specifically deals with home provider requirements and in-home visits, at length.
Furthermore, in the way of PCS provisions for Section 1115, not to mention a few other sections such as subsections of 1915 and 1905, the act carries a significant impact and influence overall. It does no less the same under HHCS provision 1905(a)7 by means of the greater Social Security Act.
In addition, 1903(1) got added on to the aforementioned SS Act, officially mandating (without alternative) EVV for state in-home care with relation to PCS or HHCS. A cause lead to an effect, as it usually does. And also, the Cures Act has impacted greater health care/home care for those who sought more flexibility, mainly states, in how they could create and offer their policies, thereby (in a sense) giving the states and, thus, ultimately, the people, what they really wanted.
21st Century Cures Act Importance – Final Thoughts
Yet at the same time, it has also enforced the laws even further, ensuring that those who fall under such categories mentioned, based on state factors and more, have no other options and must comply. So it can be a double-edged sword, as some would rather see it.
Because of the Cures Act, any Medicaid-funded PCS or HHCS whatsoever must use EVV. The expectation is that those with PCS have transferred over to EVV by no later than January of next year (2020). And as for those on HHCS, the deadline is for the same month, but three years following (in 2023). (Source: medicaid.gov).
And the impact that this further carries, for instance, on states that fail to comply, is detrimental. These are subject to major reductions or cuts in their FMAP.
The way that stakeholder input can be and is solicited is another factor to briefly note, a result of the Cures Act upon EVV. And also, the Act permits the EVV to be rolled out in “parts” or “phases”, sequentially. States have many options with that.
In summary, this has been our analysis, what the Cures Act is, how we feel about the Cures Act, and why it’s relevant. Take careful note of any changes made to it in the months to come. And we likewise welcome you to contact us or give us a call, where you can learn more.