Electronic Visit Verification. (EVV). Provider shall cooperate with State requirements for electronic visit verification for personal care services and home health services, as applicable.
Electronic Visit Verification. (EVV). The MCOP shall utilize the ODM-established EVV system for the following services: Private Duty Nursing; State Plan Home Health Aide; State Plan Home Health Nursing; RN Assessment, Waiver Nursing; Waiver Personal Care Aide; Waiver Home Care Attendant. The MCOP will use data collected from the EVV data collection system data to validate all claims against EVV data (100% review) during the claim adjudication process. The MCOP shall inform providers of the use of the EVV data collection system and how the data will be utilized by the MCOP. The MCOP shall also provide assistance on utilization of the data collection system, as appropriate, to individuals receiving services, direct care workers, and providers. During the Pay and Post period of EVV, the MCOP shall submit a monthly report of all EVV related claims that would have denied as specified by ODM. Upon full implementation of EVV, the MCOP shall submit a monthly report of all EVV related denied claims as specified by ODM.
Electronic Visit Verification. It is anticipated that during the life of this agreement the Employer will implement use of electronic visit verification (EVV), either through state or federal regulation or of its own volition. The implementation of EVV or other electronic system would be an alternative to the use of timesheets, travel/mileage documentation and other employee paper documentation. The parties will negotiate over implementation of this technology if it conflicts withany portions of this collective bargaining agreement or if the economic interests of employees are implicated. The Employer and the Union agree to notify the other party no less than 90 days before negotiating over economic impacts or conflicts with this agreement.
Electronic Visit Verification. Background Electronic Visit Verification (EVV) is a federal requirement from the 21st Century Cures Act, passed by Congress in 2016. States are required to have Electronic Visit Verification systems in place for personal care services by January 1, 2020. Washington State received a good faith exemption which extended the requirement to have an EVV system in place for personal care services to January 1, 2021. EVV Requirement Electronic Visit Verification (EVV) is required for Individual Providers contracted to provide home and community based services (HCBS) to Medicaid clients receiving services in Washington. EVV will apply to providers who serve clients receiving in-home personal care services from both the Aging and Long-Term Support Administration and the Developmental Disabilities Administration. IPs will use the IPOne EVV solution to record their hours worked and tasks performed until IPs are hired by the Consumer Directed Employer. EVV Exemption for Live-in Providers IPs who qualify for the Live-In Exemption (LIE) will not use the EVV system. IPs must select their LIE status in the IPOne portal to qualify for the exemption. IPs qualify for the LIE when: • The IP and their client live together in the same home; and • Neither the IP nor their client have a separate home where either lives. EVV Implementation January 1, 2021- June 30, 2021 will be considered an EVV initial implementation period. During the EVV initial implementation period, Individual Providers are required to use the IPOne EVV solution in accordance with DSHS policy, but DSHS will not terminate an Individual Provider’s contract for EVV noncompliance. Following this initial implementation period, DSHS may take progressive contract action steps with the goal of ensuring compliance with Federal requirements. Progressive contract action steps will include multiple attempts to notice and counsel workers about compliance before terminating a provider’s contract.
Electronic Visit Verification. (EVV) – means an electronic system that verifies when service provision occurs by documenting six points of data; type of service performed, individual reviewing the service, date of service, location of service delivery, individual providing the service, and time the service begins and ends. EVV is referenced in subsection 5.2.
Electronic Visit Verification. The HMO shall implement Electronic Visit Verification (EVV) for designated service codes by the deadlines established by the Department. The HMO will use data collected from the EVV system to validate claims pertaining to affected service codes against approved authorizations during the HMO’s claims adjudication process. Encounters without a valid EVV record may be excluded in future rate-setting development. Prior to implementation, the HMO shall outline expectations for contracted providers regarding the use of the EVV data collection system within subcontracts and/or provider manuals. The HMO shall also provide assistance and support to both DHS and the contracted EVV vendor for training, outreach, and utilization of the data collection system, as requested. As part of EVV implementation, the HMO is required to submit accurate, complete, and timely data. Failure to comply with EVV implementation, as part of the federal 21st Century CURES Act may result in a corrective action plan and/or the application of remedies for violation, breach, or non-performance of the contract under Article XIV, C.
Electronic Visit Verification. If Contracted Provider is a personal care aide, Contracted Provider shall comply with Health Plan’s electronic visit verification system requirements where applicable.
Electronic Visit Verification. (EVV). The MCOP shall utilize the ODM-established EVV system for the following services: Private Duty Nursing; State Plan Home Health Aide; State Plan Home Health Nursing; RN Assessment, Waiver Nursing; Waiver Personal Care Aide; and Waiver Home Care Attendant. The MCOP shall have foundational knowledge of the EVV system and processes to issue resolve as needed and direct providers, individuals receiving services, and direct care workers to appropriate resources to address questions/concerns. The MCOP shall inform providers of the use of the EVV data collection system and how the data will be utilized by the MCOP. The MCOP will use data collected from the EVV data collection system to validate all claim lines against EVV data (100% review) during the claim adjudication process. The MCOP shall inform providers on the outcome of the claim validation review for each claim line. The MCOP shall code their claims adjudication system to post Remittance Advice Remark Code (RARC) N363 defined as “Alert: in the near future we are implementing new policies/procedures that would affect this determination” on a claim that does not have an EVV visit match. The N363 will be reported on the 835 transaction to inform providers that while you’ve paid this claim, future claim payments may be impacted if the provider doesn’t make changes. Because N363 is an “Alert” per the definition and not a type of denial, no Claim Adjustment Reason Code (CARC) is needed to post to the claim. The N363 will also be reported on the encounter. However, since ODM uses the 837 transaction for encounter data, the N363 will have to be posted at the claim/header level. RARCs cannot be posted at the detail of an 837 transaction. The MCOP claim adjudication system shall be flexible to allow the ability of modifying or denying payment, as directed by XXX, for EVV claim lines during validation. The MCOP shall submit a monthly report of all EVV related claim lines to ODM. Additionally, those lines that would have denied because they are not supported by EVV visits as specified by ODM shall be identified in the monthly report.
Electronic Visit Verification. (EVV) – An in-home visit scheduling, tracking and billing system that uses telephone-based technology and GPS tracking to capture time and service information about home and community-based service visits. EVV is intended to employ controls within the delivery of home and community- based services to ensure quality of care, program efficiency, and quality assurance for various in-home and community-based care services.
Electronic Visit Verification. On or after June 1, 2014, HHSC will require STAR+PLUS MCOs to use an EVV system to verify nursing services, attendant care services, and other services identified by HHSC, including:
