Idaho’s Trusted EVV +
Home Care Software Partner

Section 12006 of The 21st Century Cures Act made implementing an Electronic Visit Verification (EVV) system compulsory. Like many other states, Idaho filed a Good Faith Effort extension with the Centers for Medicare and Medicaid Services (CMS) and approved the extension. Electronic Visit Verification in Idaho was implemented on June 30, 2021.

The key technologies used in implementing EVV to capture visit and care delivery information are:

• Mobile Visit Verification (MVV): a GPS-enabled mobile application downloaded on a tablet or a smartphone.
• Telephony Visit Verification (TVV): This system is accessed through a toll-free number that’s accessible 24 hours a day and 7 days a week.

Additionally, cloud-based solutions like CareSmartz360 for home care agencies facilitate the purpose through:

• Agency Portal: Agencies that use EVV-based solutions access the information for viewing and modifying visit activity and create EVV records. The data entered through an agency portal is known as manual entry and is subject to Department audit.
• Data Aggregator: The Data Aggregator is a solution provider to interface with the State EVV Solution and provider choice systems to transmit EVV data. Providers will have read-only access to a web portal in the Data Aggregator to view visit data.

Idaho Medicaid has announced that they will deny claims for services provided without EVV compliance. To avoid your agency being a risk of claim denials, it is vital to have a robust system that integrates EVV into claims generation.

No. As long as all of the mandated information is collected on personal care and home health care services requiring an in-home visit by a provider, states have significant discretion to utilize the system(s) of their choosing. The Centers for Medicare & Medicaid Services (CMS) does not endorse one type of system over another.

The Idaho Department has determined that no license is required to operate a home care agency. However, the agency may be penalized if they’re not following best practices for their operation and managing complaints as their top priority.

No. You cannot use Idaho Medicaid in any other state since each state has its own Medicaid eligibility requirements. You cannot transfer the non-medical coverage from one state to another nor use the range when you’re temporarily visiting another state.

The expense of senior care is covered by Idaho's Medicaid state programme. In addition to nursing home care, Idaho also offers three Medicaid-based support programs:

• HCBS Aged & Disabled Medicaid Waiver (A&D)
• Personal Care Services Program (PCSP)
• Medicare Medicaid Coordinated Plan (MMCP)

On-call time means the time spent by the employee who is not working on the employment premises but gets compensated for availability. The employee must agree to return to the premises of employment on short notice when called upon.

Under federal law, employers must pay for the hours worked, including the time a home care provider designates as ‘breaks.’ For instance, if the home care worker works through a meal, the employer must pay for that time. Even if a home care provider refers to the same time as a lunch break, workers are entitled to be paid if they are working.

CareSmartz360's EVV-based solution helps agencies comply with the 21st Century Cures Act. Some ways in which the home care software feature is helpful are:

• Improved service accountability.
• Reduced billing errors and claim denial rates.
• Reduced manual processes and use of paper due to streamlined automation.
• Streamlined communications between provider offices and caregivers.
• Service dashboard with reporting capabilities.
• Search, select, assign and schedule a caregiver easily.