fbpixel Pennsylvania Electronic Visit Verification (EVV) Solution

Pennsylvania's Trusted EVV +
Home Care Software Solution

An all-in-one home care software to meet Pennsylvania's EVV standards and ease home care management.

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    Make Medicaid Claims and
    EVV Compliance Simple

    EVV Model: Open Model | Aggregator: Sandata/ HHAeXchange/NETSMART |
    CareSmartz360 EVV Solution: Available
    Implementation Deadline: January 01, 2021

    CareSmartz360, our advanced home care software, is integrated with a Pennsylvania approved aggregator. It has a telephony & GPS-Enabled Mobile App solution to assist Medicaid- enforcing businesses in meeting state EVV requirements. Our EVV solution enables agencies to streamline operations and ensure compliance with easy-to-use features.

    • HIPAA & EVV Compliant
    • Smart Telephony
    • Manage Schedules
    • Automated Billing
    • Robust EVV Reporting
    • Open APIs
    • GPS-Enabled Mobile App
    • Caregiver Tracking
    • Error-Free Medicaid Claim Submission
    • Point of Care Documentation
    • Easy Migration
    • Award-Winning Support

    Request CareSmartz360 EVV solution information

    Understanding Pennsylvania’s Electronic Visit Verification

    Pennsylvania has mandated the implementation of an Electronic Visit Verification (EVV) system for Medicaid-funded Personal Care Services (PCS). The Pennsylvania EVV implementation timeline is as follows:

    April 2019

    Department of Human Services (DHS) finalized business rules.

    June 2019

    Published technical specifications.

    September 2019

    Offered provider training through phase-in system use.

    October 2019

    PA EVV system began after the official ‘soft launch.’

    January 2020

    Full EVV implemented as per the 21st Century Cures Act.

    State aggregators offer Medicaid payers and providers with actionable data that allows them to comply with the 21st Century Cures Act.

    Pennsylvania's Home Care Regulations & Facts

    Do you know?

    It's easy to get caught up in the routine of caring for clients, managing caregivers, and collecting payer reimbursements in Pennsylvania. As a home care business owner, you might feel like you don't have time to stay up-to-date on state laws and regulations. Here are some common state laws you need to be aware of:

    • The average pay rate for a caregiver in Pennsylvania is $13/hr. The hourly rate for services varies from $11-$16.
    • To be a caregiver, one must be a Pennsylvania resident and be over 18. A minimum of 8 hours of training and certifications are required.
    • All Pennsylvania workers must work for a minimum of 40 hours in a week. The live-out employees must be paid 1.5x their hourly rate for the overtime hours.
    • Live-in caregivers are not entitled to overtime pay.
    • Caregivers can take an uninterrupted paid 10- minute rest break for every four consecutive hours they work and an uninterrupted paid 30-minute meal break after 5 hours.
    • Caregivers are reimbursed for the miles driven at the rate of 62.5 cents per mile and covers miles driven by the employees while on the job.

    Using a home care management software can make your life easier. The GPS-enabled technology can help Pennsylvania Home Care Agencies verify and keep track of caregiver billing and payroll. Caregiver training helps caregivers expand their skills and lets them learn anywhere and anytime!

    See how CareSmartz360 helps meet Pennsylvania's strict laws & regulations!

    Home Care Regulations & Facts

    A User-Friendly Mobile EVV Solution for Pennsylvania

    Responsively designed and feature-rich apps to seamlessly run your home care agency on the go.

    Caregiver App

    GPS-enabled app to seamlessly manage caregiver visits.

    • Multilingual Support
    • Electronic Visit Verification
    • Easy Clock-In/Clock-Out
    • Verify Visits at the Point of Care
    • View Care Plans on the Go
    • Shift Tasks & Shift Status
    • Offline Mode & Alerts
    Mobile EVV Solution for Home Care Agencies

    Mobile App for
    Agency Staff

    Increase agency staff productivity and organize daily activities on-the-go.

    • Electronic Visit Verification
    • Easy Calendar View
    • Real-time Communication
    • Streamline Client Management
    • Simplify Caregiver Management
    • Easy Information Access
    • Easy to Use

    All-in-One Homecare Management Solution For Pennsylvania

    CareSmartz360 is a trusted partner for Pennsylvania home care agencies looking to scale their operations while meeting state laws and regulations, including EVV standards.

    CareSmartz360 Home Care Management Solution

    Solutions Tailored for Diverse Home Care Agency Users

    A Complete Guide To Home Care In Pennsylvania

    • Pennsylvania's Home Care Laws & Regulations
    • State's Care Plan & Medication Management Regulations
    • Home Care Staff Screening & Training Requirements
    • EVV Mandates and Medicaid Coverage Laws
    • Ways of Growing a Home Care Business in Pennsylvania
    • How Can CareSmartz360 Empower Businesses in Pennsylvania?
    Pennsylvania Home Care Guide
    Pennsylvania Home Care Guide

    FAQs: Home Care in Pennsylvania

    • Pennsylvania Medicaid-compliant EVV integrated into an effective home care software solution captures and transmits client & caregiver signatures, visits beginning & end times, and tracks the GPS location.
    • Plan care visit notes on the mobile device of your choice.
    • Easy view of caregiver schedules.
    • Provide a color-coded view of visit status through "live monitor visits."
    • Automatic billing and payroll completion after visits.
    • Ease of use and customer service.

    The soft launch period is the time for provider agencies, clients, and caregivers to adapt to EVV system use without claim impacts. During the soft launch period, provider agencies are required to use the DHS Sandata EVV system or an Alternate EVV system that interfaces with DHS Aggregator. During this time, DHS generates reports to see which percent of required claims failed to meet EVV requirements. The soft launch period began in October 2019 and ended on June 30, 2020.

    A home care license helps agencies and caregivers assist clients with the following tasks, which may be:

    • Assistance with self-administered medications
    • Personal care (assistance with dressing, personal hygiene, and feeding)
    • Homemaking (assistance with housekeeping, meal planning & household tasks, transportation, and shopping).
    • Companionship and other non-skilled services
    • Respite care (assistance and support to the family)
    • Limited medical tasks like catheter care or dressing wounds.

    Yes, you can use an EVV solution of your choice from a third-party provider. However, you may be required to go through the pre-defined channel of the state or aggregator to implement EVV. The State of Pennsylvania is currently working with Sandata and DXC to integrate with HHAeXchange.

    Live-in care means having a fully trained caregiver live with the client in their home. The live-in caregiver supports the client's specific needs to keep them comfortable and independent at home.

    Under the Pennsylvania law, an employer must pay for travel time, especially if the employee has to report to the employer's establishment to clock-in, load up, etc. If the employee leaves directly from place of residence to the job site- it is not paid time.

    According to Pennsylvania Minimum Wage Act or Fair Labor Standards Act, home care workers must receive pay for the hours worked in excess of 40 in a workweek at a rate not less than 1.5 times of their regular rate of pay.

    Yes, your agency will be the billing provider. The caregiver will not be billing Pennsylvania Medicaid directly. All claims will still be mandated to be billed from the agency.

    Yes, the objective of an electronic visit verification system is to reduce the need for managing paper timesheets manually. The use of an EVV-compliant home care software like CareSmartz360 in Pennsylvania will eliminate the need for caregivers to use paper timesheets for reporting.

    CareSmartz360- the home care software solution speeds up the billing processing time and reduces repetitive manual tasks. It:

    • Automates and tracks invoices.
    • Facilitates easy QuickBooks Export through Open APIs.
    • Splits the bill for two different payers.
    • Customizes invoice format according to payer requirements.
    • Facilities state-wise Medicaid billing.
    • Offers unified claim submissions, payments, and electronic billing.

    Switching from an old home care software to CareSmartz360 is effortless- all thanks to open APIs, making it an ideal migration tool. These make transition hassle-free and onboarding easy. You can connect CareSmartz360 with any existing tool like QuickBooks, Paychex, Waystar, etc.

    Can’t find the answer you’re looking for?

    We've just scratched the surface.

    Our users reported 95% customer satisfaction in 2023. Schedule a personal walkthrough to see CareSmartz360 in action.

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