Electronic Visit Verification (EVV)

The 21st Century Cures Act requires electronic visit verification (EVV) systems for Medicaid-funded personal care services (PCS) and home health care services. To learn more, check out the EVV overview presentation.
 

EVV Implementation Updates

EVV Implementation Update - June 13, 2019

EVV Implementation Update - May 31, 2019

Alternate EVV ODP & OLTL ONLY Addendum - June 14, 2019
Alternate EVV MCO ONLY Addendum - June 14, 2019
Alternate EVV Technical Specifications - June 14, 2019

 

Have questions? Check out the EVV FAQ Document

Electronic Visit Verification (EVV) Public Meetings Notice

PA DHS will be holding public EVV webinars to provide additional information and updates related to PA DHS implementation. These meetings are scheduled every 5 weeks leading up to January 1, 2020. The planned meeting dates are as follows:

• Tuesday July 9, 2019 from 1:00 to 3:30PM

• Tuesday August 13, 2019 from 1:00 to 3:30PM

• Tuesday September 17, 2019 from 1:00 to 3:30PM

• Tuesday October 22, 2019 from 1:00 to 3:30PM

• Tuesday November 26, 2019 from 1:00 to 3:30PM

• Tuesday December 31, 2019 from 1:00 to 3:30PM

(dates subject to change) 

You can access these webinars by clicking the following link:

o Join Skype Meeting

o Join by phone (267) 332-8737,,42711756# or Find a local number

o Conference ID: 42711756

 

Feel free to email the EVV Resource Account to let us know you’ll be joining in the meeting! RA-PWEVVNotice@pa.gov

 

What information must the EVV system collect?

  1. Type of service provided
  2. Individual receiving the service
  3. Individual providing the service
  4. Date of the service
  5. Location of the service deliver
  6. Time the service begins and ends
     

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.

For Pennsylvania this includes:

Office of Long-Term Living (OLTL) Waivers

(Includes Agency and Participant-Directed Services)

  • Personal Assistance Services
  • Respite (unlicensed settings only)

Office of Developmental Programs (ODP)
Consolidated, Person/Family Directed Support Waiver (P/FDS), and Community Living Waivers, and Intellectual Disabilities/Autism (ID/A) Base Services

(Includes Agency and Participant-Directed Services)

  • Companion
  • In-Home and Community Support
  • Respite (unlicensed settings only and camp)
  • Homemaker

Adult Autism Waiver

  • Community Support
  • Respite (unlicensed settings only)
     

What kind of system is Pennsylvania using?

Pennsylvania will use an open EVV system.
Under an open system:

  • Providers with an existing EVV system may continue to use their system as long as that system can send information to the state system. The state run system will receive information from the non-state system.   
  • Providers without an existing EVV system can use the state-provided EVV system.
     

Regulatory Dates

The act requires implementation of EVV for PCS by January 1, 2019 and home health care services by January 1, 2023. Recently signed federal legislation has delayed penalties for PCS implementation until January 1, 2020.

 

When will Pennsylvania implement EVV?

The plan for Pennsylvania’s implementation of EVV is:

  • March 2019 – DHS business rules to be finalized and initial FAQs to be released.
  • May 2019 – Technical specifications and DHS Addendum to be distributed.
  • September 2019 – Provider training to be offered with phased in system use. Training will continue to be offered through full implementation.
  • October 2019 - Soft launch of DHS EVV system.
  • January 2020 – Full implementation of system by 21st Century Cures Act.
     

WHAT EVV VENDOR CAN PROVIDERS USE FOR COMMUNITY HEALTHCHOICES (CHC)?

Providers serving participants who are already enrolled in one of the CHC Managed Care Organizations (MCOs) will have the option to use the MCO’s EVV system, HHAeXchange. A CHC-participating provider with their own internal EVV system must work with each contracted MCO to ensure the provider’s system is able to send information to HHAeXchange. Providers should begin discussing training and system options with their contracted MCO(s) in order to implement EVV by September 2019.

For participant-directed programs in the OLTL waivers, the vendor fiscal agent, Public Partnerships, LLC (PPL), will be utilizing their EVV system, Time4Care, to satisfy EVV requirements.
 

What is PA DHS doing to implement an EVV system?

DHS is working with DXC and Sandata to develop an EVV system that will integrate with our existing Medicaid Management Information System (MMIS), PROMISe. DHS is developing the state EVV system with a soft launch by September 2019. DHS will be sending out regular updates on the progress of the implementation and will be reaching out to provider agencies with surveys, informational updates, and stakeholder briefings throughout the implementation process.

 While DHS will offer the DHS EVV system to providers, Pennsylvania is using an open EVV system model. Providers may use their own EVV vendor/system so long as their system captures the six items required under the Cures Act and can interface with the DHS Aggregator, which is defined below. Technical specifications for alternative EVV systems to interface with the DHS Aggregator will be made available once they are finalized.

 

What is the DHS Aggregator?

The DHS Aggregator allows providers to continue to use a third-party system (also referred to as Alternate EVV) for visit verification. The six CMS data requirements are transmitted from the Alternate EVV system to the DHS Aggregator using DHS and Sandata’s data specifications which will be made available once business rules are finalized. The DHS Aggregator includes a read-only web portal for the provider to view their data, and a payer web portal which includes alerts, real time data views, and reporting.

Questions regarding EVV can be sent to RA-PWEVVNotice@pa.gov.