Technical Assistance Call Questions & Answers

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Published September 22, 2020

Question
Are Fiscal Intermediaries required to transmit our EVV data directly to eMedNY?

A: Fiscal Intermediaries are required to submit EVV Data. New York State is following the Choice Model, which means Providers can choose how they want to transmit EVV data to the state. Enrolled providers will be able to utilize their current eMedNY credentials to begin the process of submitting EVV Data with the eMedNY web service API. Outlined below are the steps to follow:
Step 1: Enroll as a NYS Medicaid Provider and get an MMIS ID, if necessary
Step 2: Determine who will be your "submitter" (you can be your own submitter)
Step 3: If your submitter is not yet enrolled as a Medicaid Provider, have them enroll too*
Step 4: Have the submitter obtain the login credentials for the eMedNY API Developer Portal from the eMedNY Provider Web Portal
Step 5: Using web portal credentials, login to https://developer.emednytest.io (available now for testing) OR https://developer.emedny.io (PROD which will be made available later), to request API keys.
Would the State prefer the data to be sent separately to claims or for data to be bundled in a claim?

A: The EVV data and claims data are submitted separately. The State prefers that the EVV data be sent prior to the claims data.
How would we integrate EVV into our current billing and payroll system? Would we bill in batch format directly to eMedNY via 837i transmission files?

A: Submission of EVV data to NYSDOH is done via the eMedNY EVV webservice and is separate from claims adjudication at this time. Providers should continue to bill claims via the 837i transaction.
Will the New York State be conducting testing with submitters?

A: Pilot testing is currently available. Pilot testing allows EVV Submitters to test connectivity with the API and submit EVV data. Validations are also enabled in the Test environment, so you are able to test various use cases. Please email EVVHelp@health.ny.gov to get started with Testing. As a pilot tester, you will be able to utilize your current eMedNY credentials to begin the process of submitting EVV Data with the interface. Outline below are the steps you should follow:

Step 1: Enroll as a NYS Medicaid Provider and get an MMIS ID, if necessary

Step 2: Determine who will be your "submitter" (you can be your own submitter)

Step 3: If your submitter is not yet enrolled as a Medicaid Provider, have them enroll too*

Step 4: Have the submitter obtain the login credentials for the eMedNY API Developer Portal from the eMedNY Provider Web Portal

Step 5: Using web portal credentials, login to https://developer.emednytest.io (available now for testing) OR https://developer.emedny.io (PROD which will be made available later), to request API keys.
If we have multiple provider ids, does each one need to be registered?

A: No, one provider id can be used to register for portal account and request API keys.

If you are a billing provider, you should use your MMIS ID to submit EVV Data on behalf of the provider (aka. Caregivers/Aides) that you represent. See step 3 - choose your submitter.

All of your provider IDs have to be enrolled in NYS Medicaid. However, you only need to register one for the Submitter ID.

Any one of your MMIS ID can be used to create an account on eMedNY Provider Web Portal. The chosen MMIS ID will become your Submitter ID for your EVV data submissions and can be used to submit EVV data for the various programs in your organization. It is important to note that the Submitter ID may be different from the Provider ID that is in the Billing Provider field in the EVV payload.

For example, if your organization has MMIS ID1, MMIS ID2 and MMIS ID3, and you use MMIS ID2 to create an account on the eMedNY API Developer Portal, then MMIS ID2 will be the Submitter ID for your organization. MMIS ID2 will submit EVV data containing a Billing Provider ID which can be any one of the three MMIS ID that your organization use.
If GPS coordinates will not be collected, how will locations be submitted for visits using a mobile app?

A: Location of service is not a required field for EVV Data submission. In lieu of the GPS coordinates, or address, Start and End locations must be populated using the following valid values: "Home", "Community". Please reference the draft EVV Interface Control Document for further details.
Will we be able to export the EVV data in a csv format into our current database system (MySQL)?

A: There is currently no functionality in the eMedNY EVV web service API to download EVV data.
Our agency is NPI exempt and we have a Medicaid provider id. Can we use our Medicaid provider id, or should we get an NPI?

A: Your Medicaid ID can be used to get web portal credentials and to request an API key. Atypical providers do not require an NPI.
How is New York State going to identify the provider we are submitting data for and how will you match claims data from the providers billing software?

A: The provider is identified by their NPI or their MMIS ID in the EVV payload. This identifier will be used when the EVV data is matched with the claims data.
Is EVV requiring that the Social Security number of the worker be submitted to CMS in order to bill?

A: A Caregiver ID field has been added in lieu of the servicing provider SSN and servicing provider TaxPayer ID. Please reference the draft EVV Interface Control Document here for further details.
When retrieving EVV data, will we be able to see which API key that record was sent from?

A: No, API Key will not be part of response. A submitter may retrieve an EVV record by performing a GET request containing the Transaction ID used to submit the EVV record.
Are there any sample files (records) available?

A: Sample requests can be found in the Draft EVV Interface Control Document located on the EVV website.