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, home care, 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 the 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 the 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:
- Click here for information on Alternate EVV Specifications
- Click here to access the Indiana Addendum for Alternate EVV Specifications
- 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.
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 training, 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.
- For Indiana providers, click here to access a Quick Reference Guide for Provider Healthcare Portal: Updating Contact Information for detailed instructions on updating your contact information through the IHCP Provider Healthcare Portal.
- If you wish to update this information by mail, please click here to access the IHCP Provider Name and Address Maintenance Form (which is also accessible within the Update Your Provider Profile page on the IHCP website. Providers are encouraged to complete their updates as soon as possible in order to receive important information on Indiana’s EVV process.
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.
You may access the IHCP bulletins links below which contain important EVV information:
- BT201925 – IHCP provides electronic visit verification (EVV) updates and project timeline
- BT201910 – IHCP providers alternate EVV solution details
- BT201855 – IHCP announces EVV solution for personal care and home health services
- BT201820 – Federal law requires the use of the EVV system for personal care and home health services
For a list of important activity/dates please click below to visit:
The Alora Home Health Blog