EVV information Tag

CMS Extends Moratorium Affecting New Home Health Care Agency Openings in Certain Cities

 

In this edition of the Homecare Software blog, we turn our attention to the CMS, and its crack down on fraud prevention in selected areas of the U.S. As of Feb 2015, the Centers For Medicare & Medicaid Services (CMS) has opted to extend a recently imposed moratorium on new Medicare home healthcare agencies for an additional six months. Also included within those affected by the moratorium are subunits and ambulance suppliers in many of the major cities targeted as part of the CMS’s ongoing efforts to end fraud in the industry.

New EVV Survey Raises Concerns Among Homecare Providers & Industry Officials

As the movement towards mandatory EVV on the federal level continues to march forward, officials at CMS have been steadily preparing for the possible rollout of a national electronic visit verification (EVV) survey. This survey would be a non-optional requirement for agencies providing many types of care, and is intended to strengthen agency accountability, patient care, and reduce the rampant fraud that recent reports have suggested is still on the rise in numerous states.

SPOTLIGHT ON OHIO & THE ODM EVV MANDATE

 

Electronic Visit Verification, also known as EVV, is quickly becoming a federally-mandated requirement which all state Medicaid programs must implement in order to verify that home health, homecare and/or personal care services are delivered to their intended patients. Electronic visit verification is mandated under the 21st Century Cures Act, which was effectively signed into law in 2016 with the intent of decreasing the rampant levels of reported fraud within Medicaid claims filings.

The new EVV mandates require that each state must have a state-wide and properly approved Electronic Visit Verification system fully operational by an implementation deadline of January 1st 2019 for all Medicaid-funded home health agencies providing services, and by the first of January, 2021, for all Medicaid-funded personal care services.