Click here to read about New Jersey EVV System
EVV has been mandated for 2021 and beyond in New Jersey with a 2021 start date for some agency types. When is the official start date? What types of care and organizations does it apply to, and what are the requirements? What company is the state approved aggregator and is NJ an open model state in terms of the EVV system your agency has to use? We’ll get to the bottom of all these questions and provide answers in this edition of the ALORA blog with a spotlight on New Jersey Electronic Visit Verification
Electronic Visit Verification for New Jersey Agencies
To view EVV Software for NJ BY ALORA – CLICK HERE
New Jersey Electronic Visit Verification Information
Nationwide EVV mandates were derived from the requirements of the 21st Century Cures Act. The Federal 21st Century Cures Act (2016) requires U.S states inclusive of New Jersey must implement an electronic visit verification (EVV) system for agencies delivering certain types of care. Electronic Visit Verification (EVV) software by definition is a system designed to electronically capture and verify provider visit information.
What is EVV?
EVV, or Electronic Visit Verification, is a web-based system that verifies when provider visits occur and electronically document the precise time services start and end. It ensures that people receive the care services they have been approved to receive. This technology is now required by federal law for specific services provided through NJ FamilyCare.
Electronic visit verification allows providers to confirm that services were actually delivered using a variety of electronic methods including a phone call, smart phone application, or a free EVV device in the home. The NJ Division of Medical Assistance and Health Services (DMAHS) is implementing an EVV system that meets state and federal requirements.
The state completed the vendor selection process and issued an official contract award to HHAeXchange, a statewide EVV provider. New Jersey intends to operationalize this EVV system by January 1, 2021 for Personal Care Assistance, MLTSS Home-Based Supportive Care, DDD Individual Supports, DDD In-Home Respite, and DDD Community-Based Supports.
Provider agencies are responsible for collaborating with DMAHS, HHAXeXchange, and Managed Care Organizations to ensure members are fully informed and educated as EVV is implemented.
NJ EVV REQUIREMENTS
What are the requirements for New Jersey agencies per the EVV mandate?
In concert with the 21st Century Cures Act, NC agency requirements for EVV visits note that any approved system must electronically capture:
- The name of the patient who receives a service
- The name of the caregiver who provides the service
- The exact type of care/services that were provided
- The exact location of the services provided
- The exact date of services provided
- The start and end time of the visit
WHAT IS THE START DATE FOR NEW JERSEY EVV?
EVV is Required beginning January 1, 2021
The NJ Division of Medical Assistance and Health Services (DMAHS) was set to implement an EVV system that met state and federal requirements in 2021. After completing a thorough vendor selection process, an official contract was awarded to HHAeXchange, a statewide EVV vendor. New Jersey implemented their EVV system January 1, 2021, for the following services:
- Personal Care Assistance
- MLTSS Home-Based Supportive Care
- DDD Individual Supports
- DDD In-Home Respite
- DDD Community-Based Supports
What services are required to use EVV?
The 21st Century Cures Act mandate requires EVV for all personal care services with an “in-home visit.” In the state of New Jersey this includes:
- Personal Care Assistance services administered by an agency
- Individual Supports, Community Based Supports, and In-home Respite care delivered through DDD programs
- Respite & Home-Based supportive cares delivered through MLTSS
Self-directed personal care services (the Personal Preferences Program & self-directed services coordinated through the NJ Division of Developmental Disabilities) will also require EVV
What Providers will the EVV Mandate Impact?
New Jersey’s mandate for electronic visit verification applies to all providers of Personal Care Assistance services, Individual Supports (DDD), Community Based Supports (DDD), In-home Respite (DDD & MLTSS), and home-based supportive care (MLTSS). All services which require an in-home visit are subject to New Jersey’s EVV mandate, including self-directed services (with the exception of live-in caregivers).
What is the data that must be collected through an EVV System?
- The type of services performed
- The complete legal name of the patient who received the service
- The exact date and time of the service
- The location or address where the service was performed
- The legal name of the caregiver who provided the service
- Exact start and end times services were performed
HHAeXchange is the state of New Jersey’s contracted EVV vendor, with the system set to aggregate incoming EVV data from providers and Managed Care Organizations.
Can I use an alternate EVV system outside of the state provided system?
The NJ Division of Medical Assistance and Health Services (DMAHS) allows agencies operating in the state of New Jersey to choose an EVV system of their preference if they so desire. This “alternate EVV system” must meet the requirements of the 21st Century Cures Act and additionally be able to securely transmit data to HHAeXchange. NJDHS requires that HHAeXchange holds the ability to interface with all existing electronic visit verification systems which meet the 21st Century Cures Act requirements. These efforts will be coordinated through HHAeXchange and/or the MCO.
NEW JERSEY HOMECARE BILLING & PAYROLL SOFTWARE
EVV data captured by Alora’s electronic visit verification software automatically flows into Alora’s main Home Health Software for New Jersey agencies. Once a caregiver departs from the patient’s home, visit information automatically updates within Alora, including the date of the visit with start and end times. The visit is then marked as complete, automating the process of preparation for billing and payroll. Any visits that are not executed as planned are immediately flagged within Alora Homecare software for manual review.
Visit the following link to learn more about Alora’s complete software for NJ home health agencies.
Alora Home Care Software features an integrated EVV solution that offers compatibility with NJDHS EVV requirements. Alora’s EVV protocols offer an enhanced EVV solution that is fully integrated into a powerful Home Health Software for New Jersey agencies.
If I use an alternate EVV vendor, how do I know it will work?
In concert with the requirements set forth in the 21st Century Cures Act, NJ agencies may use any compliant EVV solution that meets the following verification criteria and is able to aggregate with the state contracted HHAXeXchange EVV system :
- The EVV system must identify the individual administering the service during the visit
- The EVV system must identify the provider agency that employs or contracts with the individual providing the service.
- The EVV system must identify the patient receiving the service during the visit
- The EVV system must record the date of the visit
- The EVV system must independently verify the official start and end time of the visit
- The EVV system must record the location of the visit
New Jersey EVV Resources
For more information or a complete list of Q&A FAQs from the NJ DHS, click here to visit their website page
For a complete list of Q&A/ FAQs click here to visit NJ DHS EVV FAQs Information sheet
THE ALORA HOME HEALTH BLOG
Read the Alora blog and website to learn more about home health software for New Jersey, New Jersey compatible EVV, and recent news, articles, and commentaries, as well as other issues that pertain to New Jersey Home healthcare in the state and beyond. For more information on our blog, or for questions or feedback, please send us an email to HomeHealthSoftware@AloraHealth.com