Electronic Visit Verification: Information Sharing and Advisory Council (ISAC) Update Jeremy Yale ODP, Bureau of Policy and Quality Management February.

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Presentation transcript:

Electronic Visit Verification: Information Sharing and Advisory Council (ISAC) Update Jeremy Yale ODP, Bureau of Policy and Quality Management February 25, 2019 11:30am-12:30pm 5/2/2019

What is Electronic Visit Verification? The 21st Century Cures Act requires states to develop Electronic Visit Verification (EVV) systems in an effort to increase accountability in the delivery of Medicaid funded services. States that do not comply with the Cures Act will have their Federal Medical Assistance Percentage (FMAP) reduced.

EVV Devices Services may be verified by: The recipient’s home landline telephone (Telephony) Smart phone, Biometric recognition systems, Or fixed visit verification device- an electronic random numbers device in the beneficiary’s home.

Required Information to be Collected Type of service provided Individual receiving the service Individual providing the service Date of the service Location of the service deliver Time the service begins and ends

EVV in Pennsylvania Pennsylvania selected to implement an OPEN EVV system, which means that: Providers with an existing EVV system may continue to use their system as long as that system can send information to the state system. The state run system will receive information from the non-state system. Providers without an existing EVV system can use the state-provided EVV system.

How does EVV work?

Impacted DHS Programs EVV will be required for personal care and home health care services provided in the following Medical Assistance programs: Adult Autism Waiver Program Aging Waiver Program Attendant Care Waiver Program Community HealthChoices Program Community Living Waiver 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

Personal Care Services (PCS) Medicaid covers PCS for eligible individuals through Medicaid State Plan options and/or through Medicaid waiver and demonstration authorities approved by CMS Consists of services supporting Activities of Daily Living (ADL), such as movement, bathing, dressing, toileting, transferring, and personal hygiene Offers support for Instrumental Activities of Daily Living (IADL), such as meal preparation, money management, shopping, and telephone use

What services are under PCS? OLTL Waivers (Includes Agency and Participant-Directed Services) Personal Assistance Services Respite (unlicensed settings only) ID/A Waivers Companion In-Home and Community Support Respite (unlicensed settings only, camp) Homemaker/Chore (chore portion not included) AAW Community Support

April 2019 – Technical specifications to be distributed. Important Dates April 2019 – Technical specifications to be distributed. July 2019 – Provider training to be offered with phased in system use. Training will continue to be offered through full implementation. September 2019 – Soft launch of DHS EVV system. January 1, 2020 – All state Personal care services (PCS) comply with CMS EVV requirements January 1, 2023 – All state Home health care (HHC) services comply with CMS EVV requirements

Discussion