Ohio’s Trusted EVV +
Home Care Software Solution

Ohio was granted a Good Faith Effort Exemption from CMS, which delayed the state’s Electronic Visit Verification deadline to January 1, 2021. Phase I and Phase II providers were already expected to be compliant with the Cures Act, and claims for relevant services provided without EVV would be automatically denied until the 2021 deadline.

• 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 office and caregivers.
• Service dashboard with reporting capabilities
• Search, select, assign and schedule a caregiver easily

Ohio Electronic Visit Verification solutions must verify the following:

• Date of service
• Location of service
• Individual providing service
• Type of service
• Individual receiving service
• Time the service begins and ends

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.

The Ohio Elderly Services Program, popularly known as ESP offers in-home services to seniors who don’t qualify for Medicaid due to low income levels or disability yet they cannot afford to hire in-home assistance.

Medicaid waivers allow individuals with chronic conditions and disabilities to receive care in the comforts of their homes instead of living in long-term care facilities or hospitals. These waivers help individuals (seniors and their families) attain more control over their care and remain active in their community.

On-call scheduling, also known as on-call shifts are processes wherein home care provider schedules are intentionally unpredictable. Home care workers are expected to be available at any time during their shift with a short notice.

There are two types of live in caregiver situations. One in which the home care worker must have been given a space (and bed) to sleep and the other in which the caregiver must not be provided with a bed and a sleep break.

Different types of live-in care are 24-hour care and overtime/daytime care.

CareSmartz360 offers a robust billing solution for smart and accurate billing, adequate payment, and quick reporting. Care providers can submit claims the same day they offer services and get paid faster to be able to stay ahead of claim denials.

Additionally, CareSmartz360 is an all-inclusive of electronic visit verification for agencies who bill Medicaid, capture data required for EVV, and helps stay caregivers focused on care delivery.

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.