Washington’s Trusted EVV +
Home Care Software Partner

Comprehensive home care management software for agencies to meet Washington's EVV standards, laws, and operational needs.

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    Make Medicaid Claims and
    EVV Compliance Simple

    EVV Model: Provider Choice | Aggregator: Sandata |
    CareSmartz360 EVV Solution: Available
    Implementation Deadline: January 01, 2021

    Our cloud-based home care software is integrated with Sandata in Washington and provides Telephony & GPS-Enabled Mobile App features to help companies bill for Medicaid (Apple Health) benefits, streamline operations, and maintain EVV compliance.

    • 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 Washington’s Electronic Visit Verification

    Washington made the decision to implement EVV using the Open State Model. The state does not enforce any particular system(s) or recommend a particular approach. However, the system selected must meet the requirements for submitting EVV. On January 1, 2021, Washington started demanding EVV for all PCS claims.

    Exceptions to EVV Requirement

    Individual Providers who reside with your client are exempt from the EVV obligations.

    Washington State Aggregators

    Sandata is Washington’s state aggregator. Home Care Agencies and CDWA submit claims to these aggregators that contain the necessary EVV data elements.

    Washington's Home Care Regulations & Facts

    Do you know?

    More than 1.23 million people in Washington are 65 years of age or older, and by 2040, this figure is projected to increase to 1.86 million seniors. This shift makes the home care industry more heavily regulated. If you wish to stay up to date with Washington’s home care ecosystem, you must adhere to the guidelines and information below.

    • The Medicaid program in Washington, known as Apple Health, can cover home care services through both a waiver program and a managed care scheme.
    • The care plan must be updated after any change in the client's condition or needs and every 12 months at a minimum.
    • When applying for employment with a home care agency in Washington, applicants must submit a fingerprint background check conducted by the DSHS.
    • It is mandatory for home care aides to finish a 75-hour training course that has been approved by the DSHS and pass the HCA certification test. Caregivers must complete 12 hours of continuing education each year to keep their certification.
    • Washington-based home care agencies must provide the clients with a legal bill of rights, ensuring quality care delivery to clients.
    • The agency must submit a fully itemized billing statement upon request, including the date of each service and the charge as per the legal bill of rights.
    • The legal bill of rights also ensures privacy and confidentiality of personal information and care-related records.
    • According to the overtime rules in Washington, caregivers will be paid at the rate of time and a half for any hours over 40 in a workweek.

    With the use of GPS-enabled technology, Washington Home Care Agencies may easily check and keep track of caregiver shifts, training, compensation, or leave policies while still being EVV compliant. The agencies can further guarantee that their needs for care plans, billing, and other operational requirements are satisfied!

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

    Home Care Regulations & Facts

    A User-Friendly Mobile EVV Solution for Washington

    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 Washington

    CareSmartz360 is a trusted partner for Washington 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 Washington

    • Washington Home Care Laws & Regulations
    • State's Care Plan & Medication Management Regulations
    • Home Care Staff Screening & Training Requirements
    • EVV Mandates and Medicaid Coverage Laws
    • Challenges Faced by Agencies in Washington
    • How CareSmartz360 Helps Overcome These Challenges?
    Guide To Home Care In Washington
    Guide To Home Care In Washington

    FAQs: Home Care in Washington

    Washington has announced that it will deny claims for services provided without EVV compliance. To avoid your agency being a risk of claim denials, it is vital to have a robust system that integrates EVV into claims generation.

    To ensure that care is delivered according to the health and safety standards established by law and regulation, the Department of Health licenses home care agencies. The department periodically assesses these agencies on-site without prior notice in order to enforce the regulations.

    Medicaid is known as Apple Health in Washington. Nearly 2 million residents, both adults and children have access to Apple Health's insurance. Due to this Affordable Care Act, the uninsured rate in Washington has decreased to a historic low of 5.4 percent.

    Medicaid does not give money to clients. The money is transferred right to their healthcare providers. If you live in a residential care facility that accepts Medicaid residents or in your own home, Medicaid may pay for medical services.

    Most workers who put in more than 40 hours during a seven-day workweek are entitled to overtime pay. At least 1.5 times the employee's usual hourly wage must be paid in overtime. Other overtime rates, such as double-time compensation, are not required by Washington state law, with some public works projects being an exception.

    In Washington State, DSHS caregivers make $15.54 on average per hour, which is 16% more than the national average.

    In order to address growing worries about the safety and protection of seniors and other people who use various home care services, the Home Care Consumer Bill of Rights Act was proposed. The bill generally requires states to guarantee basic rights for those receiving home care services.

    A voluntary Medicaid-funded program called New Freedom (NF) enables elderly or seniors with disabilities to get services in their homes and neighborhood while controlling their own treatment plans and spending.

    You can simplify your life by utilizing CareSmartz360 home care management software. With the use of GPS-enabled technology, Washington Home Care Agencies may quickly check and keep track of caregiver training, visits, scheduling, billing, payroll, leave policies, and more while being EVV compliant.

    CareSmartz360 can be used as an EVV solution in Washington. 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 easily connect CareSmartz360 with any existing tool like QuickBooks, Paychex, Waystar, etc.

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

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

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