EVV Model: To be determined | Implementation Deadline: January 01, 2020
CareSmartz 360 is following the State of South Carolina EVV model information as it becomes available.
Electronic Visit Verification (EVV) is a technology solution that validates services billed for home and community-based personal care or home health services for actual visits made, providing accountability and safeguarding that beneficiaries who are authorized to receive services get the expected care.
Governing Body: Wyoming Department of Health
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.
CMS has set the implementation deadline for PCS as January 1, 2019. HHCS must be implemented by January 1, 2023.
Wyoming will be subject to financial penalty in the form of a decrease in the Federal Medical Assistance Percentage (FMAP) rate if EVV is not implemented by the above deadlines.
Yes, home health agencies providing the above listed care services come under EVV mandate. If the agencies submit a claim for reimbursement without corresponding documentation through EVV after January 1, 2020, they may face denial for the same.
The key technologies used in implementing EVV for capturing visit and care delivery information at the service location through:
Cloud-based solution for home care agencies facilitates the same purpose through:
Section 1903(l)(5)(A) provides that the system must be able to electronically verify, with respect to visits conducted as part of personal care services or home health care services, the following:
Section 1903(l)(2) also requires states to provide for a stakeholder process to allow input into the state’s implementation of the EVV requirement from providers of PCS and home health services, beneficiaries, family caregivers and other stakeholders.
The following is a high level summary of anticipated changes with the implementation of EVV:
|Things that will not change||Things that will change|
|Member choice of provider||Elimination of paper timesheets|
|Availability of services||Use of EVV devices|
|Member choice of individual direct care worker||How member/representative signature is collected|
|How services are provided||Verification is required by member/representative at the end of every visit/shift|
|Where services are provided|
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