EVV Model: Open Model | Aggregator: EDI file | Implementation Deadline: January 01, 2021
Providers and MCOs can choose a system that meets their requirements & operation and can submit claims using EDI Files.
Caresmartz is consistently monitoring Minnesota’s progress. Reach us if you have any queries.
Governing Body: Minnesota Department of Human 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.
Yes, home health agencies providing the listed care services come under EVV mandate. If the agencies submit a claim for reimbursement without corresponding documentation through EVV after January 1, 2021, they may face denial of the claim.
No, you do not have to bear any continuous cost for the DSS EVV system. However, if you choose to integrate your current scheduling system into DSS’ EVV system, or any other third-party EVV-based solution then you may have to pay for that service.
States that have not implemented EVV by January 1, 2021 will be subject to FMAP reductions unless they have made a “good faith effort” to comply and have encountered “unavoidable system delays.”
All services requiring an in-home visit that are included in claims under the home health category or personal care services category on the CMS-64 form are subject to the EVV requirement. In addition, services furnished under waivers or demonstration projects that meet the statutory or regulatory definition of a “home health service” or “personal care service” must meet the EVV requirement, even if they are bundled into a different service or furnished through a managed care provider. In other words, if the service includes personal care services or home health services, even if it has a different name or also includes other services, it is subject to EVV.
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