EVV Model: To be determined | Aggregator: To be determined | Implementation Deadline: To be determined
CareSmartz360 is following the State of Kentucky EVV model information as it becomes available.
Kentucky is working to implement the Section 12006 of the CURES Act requires state Medicaid programs to implement EVV for personal care and home health care or face reductions in the federal medical assistance percentage (FMAP) beginning in 2019 for PCS, and in 2023 for HHCS. Future updates will be available as the program is developed.
Governing Body: Kentucky Cabinet for Health and Family Services
EVV is still to be implemented in most of the states with different guidelines and regulations. We’re keeping up with the updates related to EVV implementation and if there is something we haven’t included, please share with us. To learn how CareSmartz360 can help in ensuring compliance, please get in touch with us.
Section 12006 of the 21St Century Cures Act (the Cures Act), P.L. 114-255, added Section 1903(l) of the Social Security Act (SSA). Section 1903(l) provides that states must require the use of an electronic visit verification (EVV) system for personal care services (PCS) and home health care services (HHCS) that require an in-home visit by a provider.
Section 1903(l)(5)(A) provides that the system must be able to electronically verify, with respect to visits conducted as part of personal care services or home health care services, the following:
Section 1903(l)(2) also requires states to provide for a stakeholder process to allow input into the state’s implementation of the EVV requirement from providers of PCS and home health services, beneficiaries, family caregivers and other stakeholders.
EVV allows verification of employee’s location, hours of work for payroll and billing, visits being reported are actually taking place, and that the patients are getting the care they require. Better care delivery, gapless communications, enhanced productivity of the staff, and automation of key processes are some other benefits of implementing EVV. It also helps to curb fraud and ensure transparency in care quality with continuous tracking and monitoring.
Yes, the cloud-based EVV system allows the agency to fix visits that do not have all the required information. For instance, a caregiver who forgot to record the visit start or end time.
Behavioral Services (provided in the home), Consumer Directed Attendant Support Services (CDASS), Durable Medical Equipment (requiring in-home setup), Home Health , Homemaker, Hospice , Independent Living Skills Training (ILST) , In-Home Respite , In-Home Support Services (IHSS), Occupational Therapy (provided in the home), Physical Therapy (provided in the home), Pediatric Behavioral Therapy , Pediatric Personal Care, Personal Care, Private Duty Nursing , Speech Therapy (provided in the home) , Youth Day
Yes, home health agencies providing the above listed care services come under EVV mandate. If the agencies submit a claim for reimbursement without corresponding through EVV post January 1, 2020, they may face denial for the same.
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