Please use the links below to find the information you are looking for. If you are having difficulty finding the information you need, please Contact DHS.
ACTION NEEDED: Providers of personal care services, including home and community-based services that have personal care components, please complete the EVV survey by Friday, April 20. This survey will inform DHS’s implementation of electronic visit verification.
The 21st Century Cures Act requires electronic visit verification (EVV) systems for Medicaid-funded personal care services (PCS) and home health care services.
What is considered PCS?
The Centers for Medicare & Medicaid Services (CMS) states that PCS consists of services supporting activities of daily living (ADL), such as movement, bathing, toileting, transferring, and personal hygiene or offers support for instrumental activities of daily living (IADL), such as meal preparation, money management, shopping, and telephone use. For more information on the EVV requirement for PCS, click here. We anticipate additional guidance in the future from CMS on the requirements for EVV.
What is PA’s plan for complying with this requirement?
EVV use for PCS must be implemented by January 1, 2019, and home health by January 1, 2023. The Department of Human Services (DHS) received stakeholder input from beneficiaries, family caregivers, provider agencies, and other stakeholders on the current use of EVV in the Commonwealth and the impact of EVV implementation. This process showed that many providers already use an EVV system and DHS needs to utilize an open system that can compile data from those existing systems. To comply with the EVV requirement, DHS will use a two-phased approach.
Short Term: DHS will use the existing PROMISe fiscal agent contract with DXC to comply with the federal requirement for EVV by January 1, 2019. This will be an open system that will receive information from existing EVV systems being used by providers and will provide EVV for PCS providers who do not have their own system.
Long Term: DHS wants to have a better understanding of what providers are currently using for EVV and which providers do not currently have an EVV. PCS providers should complete the EVV survey in this email by clicking on the link below. DHS also recently released a Request for Information (RFI) directed at EVV vendors. This provider survey and the RFI will give DHS an understanding of the full capabilities of EVV systems and the needs of providers. This information will inform DHS’s next steps with the possibility of a future procurement. The RFI can be found by clicking here.