EVV Model: Open Model | Aggregator:Sandata | Implementation Deadline: January 01, 2021
Agencies can use CareSmartz360 as an EVV compliant home care software in Washington to bill for Medicaid benefits once it is integrated with the state system.
Governing Body: Washington State Department of Social and Health 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.”
Yes, your agency will be the billing provider. The caregiver will not be billing Washington Medicaid directly. All claims will still be mandated to be billed from the agency.
First, a home care agency or care provider should learn about the EVV requirements. They need to assess whether they want to go with State EVV Solution or a third-party EVV solution. Prior to the implementation, they also need to complete mandatory training.
The EVV system can record multiple visits to a client per day. Each caregiver has a unique identifier, and EVV records created by that identifier are caregiver-specific. The EVV solution does not limit the number of services a client can receive in one day.
No, the client is not required to have a landline or cell phone. The verification of service through EVV is the responsibility of the home care agency. To punch in the visits and provide required care, a caregiver should be given the technology necessary for EVV. A client may allow a caregiver to use their personal landline or cell phone for EVV, but it is not a rule.
Reporting the visit is the responsibility of the caregiver. Once the phone regains power, the visit can be saved. In case the visit is unable to be accurately recorded, the agency administrator may fix visit data within the provider portal. Please note, manually entered visits are subject to Department audit.
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