The Electronic Visit Verification™ Mandate – as outlined in the 21st Century Cures Act – has created a great deal of concern and more than a little uncertainty for many within the home healthcare industry. All states that bill Medicaid for personal care services will be required to have implemented an EVV program beginning January 2019.
Part of the uncertainty stems from the fact that only 18 states have decided how they will implement their EVV programs, leaving 32 mores in the decision-making process. Part of the uncertainty stems from the fact that there are four primary – and possible more – ways that state Medicaid agencies can implement their EVV programs.
There are four basic models from which to choose:
- Provider Choice: The state instructs home care agencies to choose, and pay for, any EVV software solution of their choice.
- State Choice: The state purchases an EVV solution to be used by all agencies.
- MCO Choice: The state mandates that each MCO choose an EVV solution that is used by their providers.
- Open Hybrid Model: The State selects an EVV solution, while allowing providers and MCOs to keep their existing system, or to choose a system that best suits their operation. The states establish the technology requirements and configuration, rules, and policies regarding the program to monitor for compliance and billing.
While there may be a desire to hold off any EVV planning until the state in which you operate decides which model they’ll use, we at Sandata believe the planning process should begin now. The process can include:
- Researching EVV software providers, and determining which ones have the most experience and expertise in EVV solutions;
- Analyzing the different methods that home care workers in the field can perform their EVV “check-ins” and determining which ones are most appropriate;
- Auditing the information technology within the agency, and determining how EVV software will integrate into the current environment;
- Examining any agency management software within the agency and determining if the EVV implementation provides an opportunity to upgrade and better integrate the agency’s overall technology set-up.
EVV can be viewed simply as another regulatory requirement, but we believe there’s a positive perspective: It helps improve operational efficiencies and lower costs by ensuring visits are compliant, billings are accurate, services are documented, and better communication between office and field.
We know because we’ve seen how our Sandata’s Santrax® Electronic Visit Verification™ solution has improved overall management and performance at agencies throughout the United States. Our Santrax EVV solution captures all the necessary information required by the 21st Century Cures Act, including date and time of the in-home visit, the tasks that were preformed, which caregiver provided care to the patient, and the exact location of service, along with other “checks and balances.” Sandata’s EVV™ solution provides for a number of different verification methods:
- Telephonic Visit Verification™: Automatic Number Identification technology validating telephone calls to log in and log out, and records tasks, time, and location of visit in real-time.
- Mobile Visit Verification™: Real-time GPS technology, verifying caregiver location and visits via GPS enabled devices.
- Fixed Visit Verification™: Patented technology verifying visits when no landline or cellular service is available.
Sandata has been in the EVV business long before EVV was a mandate, and our folks are available to answer questions and provide advice about how to best review and make a decision about your EVV will be implemented at your agency. January 2019 seems like a long way away, but it may be closer than you think. Not being ready can put your agency at a disadvantage if you aren’t well informed.