Tag Archive for: Louisiana

Louisiana Providers Shoulder Unnecessary Costs

Louisiana providers are struggling with the costs of the state’s EVV requirement. Although the 21st Century Cures Act allows telephony to verify visits, Louisiana declared that providers must use mobile devices with GPS functionality. And, whether they use the state system or an alternative one, providers must bear the cost of the technology themselves.

Some providers, especially those with many employees, expressed apprehension about the massive cost of the mobile devices. On March 23, 2018, the Department of Health answered these concerns saying: “The state is providing the EVV system free of charge to providers. It is set up to be accessed from a device with internet access (smart phone, tablet, or computer). A provider agency who decides to provide the device for login should consider getting one device per participant, not per DSW.”

The state has not taken any further steps on the matter. Providers that do not spend what is necessary to comply with the EVV mandate may receive Medicaid reimbursements.

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Do you think states should ban telephony for EVV? Should providers bear the cost of the mobile devices or should they ask employees to use their own?

Louisiana on Third Attempt at EVV Implementation

The first two times Louisiana mandated EVV, the state selected a single vendor that all providers were required to use. In 2013, the state contracted with Sandata and in 2015 it contracted with First Data. Both attempts ultimately failed. Now, Louisiana is again implementing EVV to comply with the 21st Century Cures Act, but it is taking a different approach.

Louisiana contracted with LaSRS for a statewide EVV system, but is allowing providers to use another system as long as it integrates with LaSRS. Effective May 1, 2018, any providers who do not comply with the EVV mandate — including those who manually enter data into LaSRS — will receive corrective action. The state made it clear that non-compliant providers may not receive reimbursement for billed services.

Programs Affected: HCBS direct-care services delivered outside of the home, including center-based, vocational, and transportation services