Electronic Visit Verification Program (EVV)

Regional Listening Session:

Syracuse Session

  • Presentation is also available in Portable Document Format (PDF)

July 2019

Housekeeping Items

  • Restroom location
  • Please silence your cell phones
  • Optional ListServ Sign Up
  • Presentation will be available on the EVV website

Statewide EVV Listening Sessions

The goal of the statewide series of Electronic Visit Verification (EVV) Listening Sessions is to collaborate and receive feedback from stakeholders (e.g., consumers, providers of services, managed care plans, local  departments of social services) on  the implementation of Electronic Visit Verification (EVV) requirements.

Review of Key Questions and Topics to Help Inform and Facilitate Today´s Listening Session

  • What is the 21st Century Cures Act?
  • What are the Requirements for Electronic Visit Verification (EVV)?
  • What Medicaid Services or Programs are Impacted by EVV Requirements?
  • Guiding Principles for EVV Implementation
  • How Can the Implementation of EVV Improve Services Delivered to Consumers?
  • What are Some Examples of Options for How EVV Can Be Implemented?
  • Where is EVV in Place Today?
  • What are the Possible Approaches for Implementing EVV?
  • Open Discussion

What is the 21st Century Cures Act?

  • Signed into Federal law in December 2016
  • Requires all states to use Electronic Visit Verification (EVV) for Medicaid Personal Care Services (PCS) by January 1, 2020, and for Home Health Care Services (HHCS) by January 1, 2023
  • Apply for Good Faith Extension by November 30, 2019

What are the Requirements for Electronic Visit Verification (EVV)?

The Cures Act requires that EVV use a selected solution to electronically collect service delivery information to verify:

  • Service type
  • Individual receiving the service
  • Date of service
  • Location of service delivery
  • Individual providing the service
  • Begin and end times of  service

New York State has NOT selected any EVV solution or model

What Medicaid Services or Programs are Impacted by EVV Requirements?

  • Personal Care Services Program (PCSP)
  • Consumer Directed Personal Assistance Program (CDPAP)
  • Certified Home Health Aide (CHHA)
  • Community Habilitation Program and Skills Acquisition Maintenance and Enhancement

Guiding Principles for EVV Implementation

  • Collaborate with stakeholders to identify and implement an EVV model
  • Meet federal requirements, thus avoiding penalties and ensuring federal Medicaid funding is preserved for services
  • Meet HIPAA compliance standards and establish safeguards to protect patient privacy
  • Be deployed through a collaborative stakeholder engagement process
  • Provide training for providers and consumers on the implementation and use of the EVV solution(s) as necessary
  • Other?

How Can the Implementation of EVV Improve the Services Delivered to Consumers?

  • Ensure that Medicaid consumers are receiving the care and services included in their person–centered care plan
  • Reduce administrative burden of paper service verification documents
  • Increase payment accuracy and reduce errors in billing
  • Ensure program integrity
  • Other?

What Are Some Examples of Options for How EVV Can be Implemented?

  • Telephone
    • Telephone calls can be used to capture service period and verify location
  • Mobile Application
    • Apps can be downloaded and used to capture service period and verify location
  • Fixed Object (FOB)
    • In–home devices can be used to capture service period and verify location

Where is EVV in Place Today?

  • OMIG requires home health agencies and personal care providers exceeding $15M in Medicaid fee–for–service and/or Medicaid Managed Care reimbursements contract with a verification organization
    • Verification organizations are required to perform pre–claim reviews of claims data collected in EVV systems
  • Home care vendor agencies contracted with NYC Human Resources Administration (HRA) providing home attendant services, housekeeping services, and CDPAP services
  • DOH has issued an EVV Survey to providers of personal care and home care services to assess their use and readiness for EVV implementation
  • The EVV Survey is available on the DOH EVV website
  • Summary of survey results will be publicly available on the DOH EVV website

What are Possible Approaches for Implementing EVV?

  • Provider Choice
    • Providers select EVV vendor of choice
  • State Selected Vendor
    • State contracts with a single vendor that all providers are required to use
  • State Selected In House System
    • State creates, runs, and manages its own EVV system
  • Managed Care Plan (MCP) Choice
    • MCPs select their EVV vendor of choice
  • Open Vendor/Hybrid
    • State contracts with a single vendor or builds a system but also allows providers to use own vendor

Open Discussion

Major Milestones for Implementing EVV

Milestone 1:

  • Planning
  • Listening Sessions
  • EVV Option Recommendations

Milestone 2:

  • Develop Strategy
  • Execute Strategy

Milestone 3:

  • Development & Implementation
  • Training
  • Work with EVV Vendor(s) (if necessary)

Steps to Achieve the Milestones

  1. Complete statewide tour of Listening Sessions
  2. Keep EVV website updated
  3. Compile feedback from Regional Listening Sessions, the Survey and compare EVV solutions
  4. Share feedback on EVV website
  5. Determine strategy and execute
  6. Continue collaboration with stakeholders
  7. Provide training, ensure smooth and well–informed implementation
  8. Monitor and evaluate implementation

Schedule of EVV Regional Listening Sessions

Date Region Location Time
5/30/2019 Albany/Capital District Empire State Plaza 1pm – 4pm
6/05/2019 Rochester RIT Inn Conference Center 9am – 12pm
6/17/2019 Long Island Long Island Marriott 1pm – 4pm
6/18/2019 New York City Academy of Medicine 1pm – 4pm
6/24/2019 NA Online Webinar 9am – 12pm
6/27/2019 Lake Placid High Peaks Resort 1pm – 4pm
7/09/2019 New York City New York Marriott Downtown 1pm – 4pm
7/11/2019 NA Online Webinar 6pm – 9pm
7/17/2019 Buffalo Buffalo Marriott Harbor Center 1pm – 4pm
7/18/2019 Syracuse Marriott Syracuse Downtown 1pm – 4pm

EVV Regional Listening Sessions can be found on the DOH website.

How Can Stakeholders Remain Informed Throughout the Implementation of EVV?

Website Resources
NYS DOH EVV Website

Email
EVV Help Mailbox