Virginia DMAS EVV

Update on Electronic Visit Verification in Virginia

 

As part of our continued commitment to monitor the status of EVV implementation across the nation per the 21^st Century Cures act, the latest news out of the state of Virginia is that EVV is now required for all services provided on or after July 1, 2020. (updated from April 1st due to COVID-19). Agencies and providers in Virginia have been adjusting to the new implementation date and trying to ensure that staff is prepared.

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For a recap, the requirements mandated by the 21^st Century Cures Act (and applicable to VA) are as follows:

• The individual receiving the service
• Date of service
• Type of service(s) performed (personal, respite, companion, & home health)

*These three items are included on VA claim forms.

• The individual receiving the service(s)
• Date of service
• Type of service(s) performed (personal, respite, companion, & home health)

 

These items will be required for all services provided on or after July 1, 2020.

 

For the state of VA, the following HCPCS codes require Electronic Visit Verification information:

• Personal Care: T1019, S9125
• Respite Services: T1005
• Companion Services: S5135

*Each code is a separate clock in and clock out

Learn more about Virginia Medicaid EVV Software

For consumer directed EVV:

• Attendants are required to use a smart device app or interactive voice response system for clock‐in and clock‐in.

• The smart app and interactive voice response systems are provided by the payroll vendors.

Below are some suggested best practices for navigating EVV implementation in Virginia:

• Submit Virginia EVV claims immediately
• When caregiver goes to the member’s home, take the EVV app to identify connectivity concerns and reasonableness of location.
• Work with your EVV or Virginia Home Health Software vendor on an EVV system training program that can be easily learned and replicated.
• When starting, train staff, reassess issues and workflow, tweak training.
• Have a transition period overlapping manual timekeeping and EVV
• Enforce consistent policies!
• Raise awareness on how adjustments are made to EVV records, and how electronic signatures are handled.

 

Keep in mind that beginning July 1, 2020 all claims with EVV data elements will be paid. MCOs, with the exception of Anthem, will make payments based on the number of units submitted on the claim, not the EVV data. Anthem will use EVV data, however their vendor has rounding programmed in the system.

Learn more about Home Health Software for Virginia

Helpful Virginia DMAS links:

 

• To visit the DMAS official website, visit: https://www.dmas.virginia.gov/
• For EVV Regulatory information visit: www.townhall.virginia.gov
• For FAQS on DMAS EVV visit: https://www.dmas.virginia.gov/files/links/4821/EVV%20FAQs%20as%20of%2010-8-19.pdf

 

The Alora Home Health Blog

Read the Alora blog for industry news, including recent news, articles and commentaries, as well as other issues that pertain to Homecare in the U.S and beyond. For more information Virginia EVV Home Health Software or other blog topics, or for questions or feedback, please send us an email to HomeHealthSoftware@Alorahealth.com