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Electronic Visit Verification (EVV)

Comply with Government EVV Mandates and Beyond with Home Care's Most Powerful End-to-End Software

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Trust AlayaCare as Your EVV Compliance Partner

The technology market offers no shortage of solutions that could meet the new requirements -- but for agencies with more progressive strategies, the Cures Act provided a timely backdrop to think more broadly and seize an opportunity to differentiate your services.

Under the 21st Century Cures Act mandate, all Medicaid Personal Care Services (PCS) that require an in-home visit by a provider must have an EVV system in place that can verify: date of service, location of service, type of service, individual receiving services, individual providing services, time service begins and ends.

EVV State Models

AlayaCare is working to provide solutions to meet EVV requirements in your state. Requirements and timelines are changing regularly, so always check your state's Medicaid website for updates. Descriptions of the different EVV models that States prescribe:

  • Open Vendor: The state selects an EVV vendor and data aggregator. Providers can use a state-sponsored vendor free of charge or work with another EVV vendor at their own expense. Alternative EVV vendors must integrate with the state’s data aggregator.
  • State Mandated External Vendor: Providers must use the state-sponsored, state-funded vendor.
  • State Mandated In-House System: States build their own EVV system, which all providers must use/integrate with.
  • Provider Choice: Providers select and pay for their own vendors.
  • MCO Choice: Managed Care Organizations select the vendor and cover the costs.

EVV FAQ's

 

What is EVV?

EVV is Electronic Visit Verification. This is a provision within the federal 21st Century Cures Act, which was signed by President Obama. The Act sought to bring innovation and quality assurance to patient care, including having states implement an EVV system for Personal Care Services (PCS) by Jan. 1, 2019 and for Home Health Care Services by January 1, 2023. EVV is a form of technology that tracks the beginning and end of a nurse’s and home health aide’s visit to the consumer’s residence. He or she will use a mobile app or landline system to record details of the visit. Information specifically tracked is the consumer; date and location; who the caretaker is; and the time of the visit and when it concluded

What problem(s) does EVV solve?

It’s expected that this will reduce fraud and abuse, and assist with billing, compliance and quality assurance. It will also assist providers with consumer records and work schedules. 

What is the deadline for me to implement an EVV solution?

The deadline to implement EVV is Jan. 1, 2019 for Personal Care Services and Jan. 1, 2023 for Home Health Care Services.

What are the various types of EVV Models out there?

Provider Choice ModelThe state requires the provider community to select, implement and pay for the EVV vendor they choose. 

MCO Choice Model: The state requires the MCOs to select, implement and pay for the EVV they choose. State Choice Model: The state Medicaid program contracts with a single EVV vendor and mandates that all Providers use that vendor’s EVV system. The State would directly oversee – this could be burdensome for NYS. 

Open Vendor Model: The Open Vendor allows the State to select the EVV vendor, and allows providers to use that vendor at no-cost, or continue using their current EVV vendor.

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