Pennsylvania EVV Update

DHS recently published some more, but limited, information on EVV.

Which programs are impacted?

Providers serving participants in the OBRA waiver or Act 150 program must adhere to all timelines and guidance issued by DHS in order to comply with EVV requirements in the fee-for-service system. 

Few details available

The Department of Human Services (DHS) is moving forward with a “soft implementation” in September of 2019. DHS will provide more updates as DHS moves through this process. Providers using MITC as their own internal EVV system will be able to interface with the DHS EVV aggregator system but DHS has not yet issued implementation details. 

Pennsylvania has confirmed providers will be able to use their own EVV system and submit information to the state’s EVV vendor. The Department of Human Services is using the existing PROMISe™ fiscal agent contract with DXC for EVV.

This “open” route is the one most states are taking as providers need the flexibility to use a system that best fits their business model to benefit from the potential productivity and billing gains from EVV. Smaller providers or providers with straightforward needs may find they can use the Department’s EVV system for compliance. However based on provider experience in other states, state systems tend to be limited and cause more work.

Many Pennsylvania providers are already using Agency Workforce Management for EVV. For more information on myAttendance for EVV/HIPAA compliance, download the fact sheet below.

Pennsylvania Lays Out Short- and Long-Term Plans

The Pennsylvania Department of Human Services (DHS) received stakeholder input to understand how providers currently use EVV and what kind of impact statewide implementation might create. The process revealed that many providers already use EVV systems, so Pennsylvania decided an open vendor model is the best approach, at least at first.

The state plans to reach compliance by January 1, 2019 by using an aggregator system to receive data from providers’ existing EVV systems. That system will also provide EVV capabilities to providers that do not have a system in place. In the long term, DHS will consider procuring a state contract. DHS has already released an RFI to potential EVV vendors.

The state is asking providers to complete a survey to inform future EVV implementation decisions.

Programs Affected: Personal care and home health care services provided in the following Medical Assistance programs: Act 150 Attendant Care Program, Adult Autism Waiver Program, Adult Community Autism Program, Aging Waiver Program, Attendant Care Waiver Program, COMMCARE Waiver Program, Community HealthChoices Program, Consolidated Waiver Program, Fee-For-Service, HealthChoices Program – Physical and Behavioral Health, Independence Waiver Program, OBRA Waiver Program, Person/Family Directed Support Waiver Program