Get the latest updates on state EVV mandates.

North Carolina Seeks Provider Input

The North Carolina Department of Health and Human Services is asking providers to complete a survey that will help the state understand the EVV systems that providers may already use. Based on these results, the state will consider a vendor to implement a statewide EVV system. Providers that already use a system may continue, as long as it meets state criteria.

According to a flyer the state released, by January 1, 2019, providers must use an EVV system that verifies:

  • Date of service
  • Location of service delivery
  • Individual providing service
  • Type of service performed
  • Individual receiving the service
  • Time service begins and ends

Programs Affected: State Plan Personal Care, HCBS Waivers, HCBS State Plan, Self-directed Personal Attendant Care Services, Community First Choice State Plan (State Plan Home Health Services and home health services authorized under a waiver of the plan will be affected by January 2023)

 

Illinois Still Silent on Federal EVV Mandate

Illinois implemented an EVV system in 2014 for home care providers. The state has not made any updates since the 21st Century Cures Act passed Congress.

Programs Affected: Individual providers, homemakers, and home health care agencies and their workers who provide services to customers in the Home Services Program

Nevada Personal Care Attendants Must Take Action Now

Nevada requires all personal care attendants to obtain a National Provider Identifier and enroll as a servicing provider with Nevada Medicaid before January 1, 2019. This costs nothing to the provider, but failure to obtain an NPI could delay Medicaid reimbursements.

Ohio Providers Struggle to Find Approved Alternative Vendor

Ohio has a contract with Sandata to provide a state-wide EVV solution, beginning January 8, 2018. The state claims providers can use their own vendor instead of Sandata, but some providers are finding it difficult to get alternative vendors approved.

Only services provided through the fee-for-service Medicaid program are included. Services reimbursed through a managed care plan are not part of the EVV program at this time.

Programs Affected: State Plan Home Health Aide, State Plan Home Health Nursing, Private Duty Nursing (PDN), Ohio Home Care Waiver Nursing, Ohio Home Care Waiver Personal Care Aide, Home Care Attendant, and RN Assessment

Indiana to Implement Aggregator System

Indiana has enlisted DCX Technology to design an EVV system for implementation effective January 1, 2019. Providers may use another system to EVV, since the one DCX is creating will aggregate data from other systems. If providers choose to use another system, it must document the following (as written in an IHCP bulletin):

  • Type of service performed
  • Individual receiving the service
  • Date of service
  • Location of service delivery
  • Individual providing the service
  • Time the service begins and ends

Indiana has not yet released training material for the new EVV system.

Programs Affected: Personal care services

Minnesota DHS Recommends Hybrid Implementation Model

The Minnesota Department of Human Services published a lengthy legislative report detailing the state’s considerations on EVV. In this report, DHS recommends the hybrid model, in which the state purchases an EVV system that any provider may use but also allows providers to choose an alternative system that meets requirements.

Colorado Gives Providers 6-Month Grace Period for EVV Implementation

Colorado providers will have a 6-month grace period after the January 1, 2019 EVV implementation. During this time, they are expected to use their EVV systems correctly, but their claims will not be affected. After the grace period, their claims will not be reimbursed unless they are EVV compliant.

Colorado has contracted with Sandata for a statewide EVV system, but providers are free to use any EVV system they choose, as long as it meets federal guidelines and is capable of communicating with Sandata through a data aggregator.

Programs Affected: Personal care and home health services

Florida Has State Contract for EVV, But Allows Third-Party Integration

The Florida Agency for Health Care Administration has a contract with Centric Consulting, LLC to provide an EVV system to fee-for-service providers. Centric’s EVV solution is called Tellus EVV. Training materials are available online.

Providers using a different EVV system may continue to use it if the system integrates with Tellus and meets state requirements.

Programs Affected: Home health services (home health visits, private duty nursing and personal care services)

Connecticut Implemented EVV Way Ahead of Time

The Connecticut Department of Social Services implemented a mandatory statewide EVV system for clients in three programs in 2016 and 2017. The state has not announced any changes to the mandate since then.

Programs Affected: CT Home Care Program (CHC), Personal Care Assistant (PCA), Acquired Brain Injury (ABI)

Several States Yet to Publicly Confirm Implementation Models

CMS guidelines indicate that Kansas, Mississippi, Montana, South Carolina, and Washington have chosen to mandate a statewide external vendor for EVV, but the states have not publicly confirmed this.

CMS indicated the Maryland has chosen to mandate a statewide in-house vendor, but the state has not publicly confirmed this.

CMS indicated that Massachusetts has chosen to mandate a statewide in-house model or an open vendor model, but the state has not publicly confirmed either of these.

CMS indicated that New Jersey has chosen to use an MCP choice or open vendor model, but the state has not publicly confirmed either of these.

CMS indicated that New Mexico has chosen to use an MCP choice model, but the state has not publicly confirmed this.

CMS indicated that Alaska, New York, and Utah have chosen to use a provider choice model, but the states have not publicly confirmed this.