Indiana EVV

Home Health Blog - Indiana Medicaid EVV

(Click here to review Alora’s EVV system for Indiana)
 
Indiana Electronic Visit Verification Information

With the introduction and subsequent passage of the 21st Century Cures Act, state Medicaid programs will require providers of personal care, homecare and home health services to use an electronic visit verification (EVV) system for accurate documentation of all services performed. The federally required law directs that providers within the state of Indiana will need to utilize an approved Indiana electronic visit verification system to document the below information:

  • Location of service
  • Date and time of service
  • Caregiver or individual providing service
  • The type of service provided
  • Name of the individual receiving service
  • The start and end time services are provided

To meet federal requirements, the Indiana Health Coverage Programs (IHCP) will begin implementation of approved EVV systems to document personal care services by January first, 2020. Following suit with many other states, the mandate to utilize an EVV system to document home health services performed will be implemented by January 1, 2023. You may reference the Indiana EVV Project Overview for a detailed timeline for Indiana’s EVV solution.

Request to Complete EVV Pilot Survey:
Personal care service providers anticipated to be impacted by Indiana’s EVV requirement can access and complete a short survey by May 7, 2019. 

Request to Update Contact Information:
Home Health providers that will be impacted by the Indiana Medicaid EVV requirement will need to ensure that their contact information (telephone numbers and email addresses) is current in the system.  

Information on IHCP EVV Solution

Initially, the IHCP will utilize Sandata to serve as a State-sponsored system for implementation of federal EVV requirements. In concert with DXC Technology, the CoreMMIS system will be configured to integrate with the Sandata’s Electronic Visit Verification system. 

Agencies have the option to use an alternative EVV system for Indiana of their choosing, however, other EVV providers or Home Health Software with Indiana EVV solutions integrated within their interface will be required to export data directly into the Sandata "Aggregator" to meet requirements for integration with CoreMMIS. This Aggregator will capture the EVV data from Sandata users as well as from users of the alternate EVV systems.

In terms of billing, documentation, and reimbursement of applicable services, providers are going to be required to submit Electronic Visit Verification (EVV) data to the Aggregator (either through the Sandata system or through direct export from their alternate system) by January 1, 2020.

ALTERNATIVE INDIANA EVV SYSTEM Specifications

Home Health services providers that elect to utilize an alternate EVV system will be required to work with their vendors to develop a daily file extraction process which can integrate with the Aggregator, using the below specifications:

Homecare services providers using an alternate EVV system will be required to begin the process of having their system interface with the Aggregator by sending an email to This email address is being protected from spambots. You need JavaScript enabled to view it. with the following subject line and details:

  • Subject: Request for EVV Vendor Certification [Vendor Name]
  • Provider name
  • Provider contact name and email address
  • Vendor name
  • Vendor contact name and email address

Following vendor identification, Sandata’s team will begin the process of working in tandem with the vendor to perform the necessary testing of their extract.

Request free information on Indiana Medicaid EVV software

Indiana EVV Training

The IHCP will be conducting training on Sandata’s EVV system in a number of different formats, including classroom-based sessions as well as live instructor-led webinars. For providers utilizing alternate EVV systems, self-paced training alternatives on the Aggregator will be accessible.

You may access the Electronic Visit Verification Training page for important information and updates regarding upcoming training events, video recordings of previous trainings, and links to training documents.

Information on Services Requiring EVV

The IHCP has developed a list of personal care services that will carry an EVV documentation and verification requirement. In the future (date to be announced), a list of home health services will also be added. To view Service Codes That Require Electronic Visit Verification, you may visit this Codes Sets page.

Helpful links:

Schedule a demo of Home Health Software for Indiana

Other Resources for Indiana Medicaid EVV Questions or Comments 

For answers to the most common provider questions regarding Indiana EVV, please click here to visit the Electronic Visit Verification FAQs.

For general questions or concerns regarding the EVV program, please send your emails to sent This email address is being protected from spambots. You need JavaScript enabled to view it..

You may access the IHCP bulletins links below which contain important EVV information:

  • BT201925IHCP provides electronic visit verification (EVV) updates and project timeline
  • BT201910IHCP providers alternate EVV solution details
  • BT201855IHCP announces EVV solution for personal care and home health services
  • BT201820Federal law requires the use of EVV system for personal care and home health services

For a list of important activity/dates please click below to visit:

https://www.in.gov/medicaid/files/Indiana_EVV_Project_Overview.pdf

For more information on Indiana EVV requirements, home health care industry news, or on Home Health Software for Indiana, email us at This email address is being protected from spambots. You need JavaScript enabled to view it.

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