Virginia’s Trusted EVV +
Home Care Software Solution

Virginia is an open model state. Section 12006 of the 21st Century Cures Act made implementing an Electronic Visit Verification (EVV) system compulsory. The Department of Medical Assistance (DMAS) regulates Medicaid-funded Personal Care Services. Like many other states, Virginia filed a Good Faith Effort extension with the Centers for Medicare and Medicaid Services (CMS) and approved the extension. Electronic Visit Verification in Virginia was implemented on June 30, 2020.

Centers for Medicare & Medicaid Services does not interpret the EVV requirement to apply to PACE program services. In CMS's view, PACE is a separate Medicaid benefit listed in section 1905(a)(26) of the Social Security Act. That provision is not cited in section 12006(a)(5)(C) of the Cures Act.

The complete data that must be captured during a visit is:

• The type of service performed
• The full name of the individual receiving the service
• The full name of the individual providing the service
• The specific date the service was provided
• The physical address (location) where the service was provided
• The time the service begins and ends

The HIPAA Privacy Rule and Virginia law provide a client's medical records rights. The HIPAA Privacy Rule sets standards for care providers across the US. Individuals have a right to see, get a copy of the client's medical records, and use the information to provide quality care.

The Virginia Department of Aging and Rehabilitative Services (DARS) aims to improve the quality of life, employment, independence, and security of older Virginians and their families.

Suppose a caregiver works in Virginia and uses their personal car or vehicle for work. In that case, they are covered under the Virginia Mileage Reimbursement Law. The purpose of this law in the United States is to ensure that the caregivers don't pay out-of-pocket costs incurred during business hours.

Eligible home care workers in Virginia can earn a compensatory leave on an hour-for-hour basis. Accordingly, caregivers may earn an hour of compensatory leave for each hour required to work for the reasons cited in section III(A) of the Act. However, an accrued compensatory leave may lapse within 12 hours from the date on which it is earned.

According to the federal Worker Adjustment and Retraining Notification (WARN) Act, the home care providers must notify home care workers in Virginia of a large-scale layoff or plant closing.

CareSmartz360, the EVV-compliant 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.

Since CareSmartz360 is integrated as an all-in-one agency management system, the cloud-based home care software helps elevate your agency's workflow for greater efficiency. Agencies will not have to commit manual hours to copy EVV data from a standalone system for accurate billing and streamlined payroll.

CareSmartz360 has comprehensive reporting features to streamline scheduling & EVV reports. These reports help in taking your agency operations to a new level of efficiency. The scheduling and EVV reports help in:

• Monitoring the caregiver's performance
• Tracking the number of hours spent on shifts
• Monitoring time scheduled with time delivered
• Tracking caregiver check-ins and check-outs
• Monitoring client schedules, open shifts, and more.