EVV Model: Open Model | Aggregator: Sandata/HHA Exchange | Implementation Deadline: January 01, 2021
CareSmartz360 is integrated with the state system. Agencies can use CareSmartz360 as an EVV compliant home care software in North Carolina to bill for Medicaid benefits.
Governing Body: North Carolina Department of Health and 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.
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.
There are certain standards brought in force by the Senior and Disabilities Services (SDS) to make sure that the care services are delivered only by individuals who possess the requisite skills and competencies and to ensure that services are performed in a safe and effective manner.
Other regulations with which care providers must comply:
Ideally, a home care software is embedded with functionalities to help home care service providers meet all the regulations and stay compliant for every relevant act.
An annual provider fee to support the Statewide EVV system is under consideration. Home care agencies who are using EVV-based software solution as per the State’s technical specifications and are approved as EVV vendors can continue to use their EVV systems.
Under the new mandate, the EVV system must verify the following:
A number of home care software solutions are available in the market today that are integrated with features and functionalities to adhere to all the compliance and contribute in the best possible care delivery. A basic criteria to look for is a platform that is easy to use by your staff, caregivers, patients, agency owners and patient’s family.
The bottom line is that whatever EVV-based solution your agency chooses, it must document precisely that a visit took place, ensuring that caregivers provided the expected services, allowing for timely and accurate documentation of the activities performed, and ensuring compliance.
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