EVV Model: Open Model | Aggregator: Sandata and HHAeXchange | Implementation Deadline: January 01, 2021
CareSmartz360 is integrated with the state system. Agencies can use CareSmartz360 as an EVV compliant home care software in Pennsylvania to bill for Medicaid benefits.
Governing Body: Pennsylvania 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.
States that have not implemented EVV by January 1, 2020 will be subject to FMAP reductions unless they have made a “good faith effort” to comply and have encountered “unavoidable system delays.”
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.
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. Currently the State of Pennsylvania is working with Sandata and DXC to integration with HHAeXchange
Under the new mandate, the EVV system must verify the following:
Yes, the objective an electronic visit verification system is to reduce the need for managing paper timesheets manually. This will also help to eliminate the need for caregivers to report to the agencies with paper timesheets.
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.
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