ALTERNATE EVV: IMPORTANT INFORMATION AND RESOURCES 1 Source of - PowerPoint PPT Presentation

ALTERNATE EVV: IMPORTANT INFORMATION AND RESOURCES 1

Source of Information: ODM Webpage • http://Medicaid.ohio.gov/EVV • Alternate System tab 2

Key Information • ALL Alt EVV documentation is important Note: Providers’ Alt EVV systems must meet all of the requirements in both: 1) Business Requirements 2) Technical Specifications 3

Requirements to Note: • ODM and Sandata are not responsible for any costs related to setting up an interface with or implementing an Alt. EVV system • Agencies must be the ones to initiate the Alt EVV setup process, request Testing Credentials, and request Production Credentials • An Alt EVV system must complete the setup and certification process for each agency’s Medicaid Provider ID with whom they contract • How often an Alt EVV system sends data to the Sandata Aggregator is up to the Alt EVV system, but must be within 24 hours of data collection and/or any edits made to data • Voice and/or digital signatures must be obtained and stored in Alt EVV system • Indication that verification was captured/not captured must be sent to Sandata Aggregator 4

Requirements to Note as of January 1, 2019: • As of January 1, 2019, Alt EVV systems must use mobile GPS technology to collect GPS coordinates in near real time at the start and end of the visit as the primary method of data collection • Also as of January 1, 2019, Alt EVV systems must offer at least two back-up methods of visit capture; manual entry must be one of the methods 5

Key Information • Documents that are referenced in the Technical Specifications and Business Requirements: » Exception Codes » Reason Codes » Required Data Elements 6

Quick Note About Exceptions and Reason Codes • Sandata Aggregator is a read-only view of the Alt. EVV data that is sent to Sandata • Providers cannot resolve exceptions and add reason codes for missing information on visits • Alt. EVV systems must provide a way to do this For example…. 7

Alt. EVV Data in Sandata Aggregator 8

Alt. EVV Data in Sandata Aggregator 9

Key Information: Phase 2 Exception Codes 10

Key Information: Phase 2 Reason Codes 11

Key Information (continued) • All Alt EVV providers must take training on the Sandata Aggregator • Link to the self-paced training is on the ODM webpage • Taking training does NOT set you up to use Alt EVV 12

Key Information (continued) • All providers who want to use an Alt EVV system must have their intended Alt EVV system certified (approved) by ODM, with Sandata’s help • It is up to the provider to start and drive the certification process • The certification process is also under the Alternate System tab, under Resources 13

WHAT IS THE PROCESS TO CERTIFY AN ALT EVV SYSTEM? 14

Updated Alt EVV Certification Process Step 7) Step 8) Step 9) Step 1) Step 2) Step 4) Provider Step 3) Step 5) Step 6) Provider Sandata notifies Provider makes Provider Provider takes identifies Go- Provider Provider Provider works confirms live ODM of request to start retrieves Alt Alt EVV Training Live date/ reviews all requests testing with Sandata to data is in the provider and Alt EVV Cert EVV system on the Sandata requests documentation credentials conduct testing Sandata system’s process information Aggregator production Aggregator certification credentials 15

Updated Alt EVV Certification Process Step 1) Provider Step 7) Step 4) Step 8) Step 9) makes Step 2) Step 5) Step 6) Provider Step 3) Provider takes Provider Sandata Provider Provider Provider works identifies Go- Provider works Alt EVV confirms live notifies ODM request to retrieves Alt requests with Sandata Live date/ to review all Training on the data is in the of provider and EVV system testing to conduct requests documentation Sandata Sandata system’s start Alt information credentials testing production Aggregator Aggregator certification credentials EVV Cert process 16

Updated Alt EVV Certification Process Step 2) Step 7) Provider Step 8) Step 9) Step 1) Step 4) Provider Step 3) Step 5) Step 6) Provider Sandata notifies Provider makes Provider takes identifies Go- Provider works Provider Provider works confirms live ODM of retrieves Alt request to start Alt EVV Training Live date/ to review all requests testing with Sandata to data is in the provider and Alt EVV Cert on the Sandata requests documentation credentials conduct testing Sandata system’s process Aggregator production EVV system Aggregator certification credentials information 17

Updated Alt EVV Certification Process Step 3) Step 7) Step 9) Step 1) Step 4) Step 8) Step 6) Provider Sandata Step 2) Step 5) Provider Provider Provider Provider identifies notifies Provider works makes Provider takes Alt Provider confirms works with Go-Live ODM of request to retrieves Alt EVV requests live data is Sandata to date/ provider to review all EVV system testing start Alt Training on in the conduct requests and EVV Cert the Sandata Sandata information credentials testing production system’s documentation process Aggregator Aggregator credentials certification 18

Updated Alt EVV Certification Process Step 4) Provider Step 7) Step 8) Step 9) Step 1) Step 2) Provider Step 3) Step 5) Step 6) takes Alt EVV Provider Sandata notifies Provider makes Provider identifies Go- Provider works Provider Provider works confirms live ODM of request to start retrieves Alt Live date/ to review all requests testing with Sandata to data is in the provider and Training on Alt EVV Cert EVV system requests documentation credentials conduct testing Sandata system’s process information production Aggregator certification credentials the Sandata Aggregator 19

Updated Alt EVV Certification Process Step 5) Provider Step 7) Step 8) Step 1) Step 2) Step 4) Step 9) Step 3) Step 6) Provider Provider Provider makes Provider Provider takes Sandata notifies Provider works Provider works identifies Go-Live confirms live requests request to start retrieves Alt EVV Alt EVV Training ODM of provider to review all with Sandata to date/ requests data is in the Alt EVV Cert system on the Sandata and system’s documentation conduct testing production Sandata process information Aggregator certification testing credentials Aggregator credentials 20

Updated Alt EVV Certification Process Step 6) Provider Step 7) Step 8) Step 1) Step 2) Step 4) Step 9) Provider Step 3) Step 5) works with Provider Provider makes Provider Provider takes identifies Go- Sandata notifies Provider works Provider confirms live request to start retrieves Alt EVV Alt EVV Training Live date/ ODM of provider to review all requests testing data is in the Sandata to Alt EVV Cert system on the Sandata requests and system’s documentation credentials Sandata process information Aggregator production certification Aggregator credentials conduct testing 21

The Testing Checklist must be completed! 22

Updated Alt EVV Certification Process Step 7) Provider identifies Go- Step 8) Step 9) Step 1) Step 2) Step 4) Step 3) Step 5) Step 6) Provider Sandata notifies Provider makes Provider Provider takes Provider works Provider Provider works confirms live ODM of Live date/ request to start retrieves Alt Alt EVV Training to review all requests testing with Sandata to data is in the provider and Alt EVV Cert EVV system on the Sandata documentation credentials conduct testing Sandata system’s process information Aggregator requests Aggregator certification production credentials 23

Updated Alt EVV Certification Process Step 8) Provider Step 7) Step 9) Step 1) Step 2) Step 4) Provider Step 3) Step 5) Step 6) confirms live Sandata notifies Provider makes Provider Provider takes identifies Go- Provider works Provider Provider works ODM of request to start retrieves Alt Alt EVV Training Live date/ to review all requests testing with Sandata to provider and data is in the Alt EVV Cert EVV system on the Sandata requests documentation credentials conduct testing system’s process information Aggregator production certification credentials Sandata Aggregator 24

Updated Alt EVV Certification Process Step 9) Sandata Step 7) Step 8) Step 1) Step 2) Step 4) Provider Step 3) Step 5) Step 6) notifies ODM Provider Provider makes Provider Provider takes identifies Go- Provider works Provider Provider works confirms live request to start retrieves Alt Alt EVV Training Live date/ to review all requests testing with Sandata to data is in the of provider Alt EVV Cert EVV system on the Sandata requests documentation credentials conduct testing Sandata process information Aggregator production Aggregator credentials and system’s certification 25

NEW CERTIFICATION VS RECERTIFICATION 26