Elect ron onic Visit Verificat ion on
W EL ELCOME E ! • HCPF Introductions • Restroom location • Sign in sheet
Agenda EVV S ystem Introductions Updates Overview EVV Policy Open Forum Top 5 F AQ’s Attentions Q&A
Meet eet ing Guidel elines es We ask that you: • Mind E-manners • Identify yourself when speaking • Share the air • Listen for understanding • Stay solution and scope focused
Meet eet ing Purpose se The purpose of this meeting is to engage providers, members, and other stakeholders as the Department works to implement EVV for community based services offered through both the State Plan and Waivers. And specifically to: • Review EVV, the legislative mandate, and the scope of implementation • Discuss EVV Implementation Process • Provide EVV timeline updates • Address stakeholder concerns • Provide a platform to gather stakeholder feedback
W hat is EVV? • Electronic visit verification (EVV) is a technology solution which electronically verifies that home and community- based services are actually delivered to people needing those services by documenting the precise time service begins and ends. • Includes multiple point-of-care visit verification technologies, such as telephonic, mobile and fixed visit verification inputs
W hy y is EVV required? • Section 12006 of the 21 st Century Cures Act requires all states implement an Electronic Visit Verification (EVV) solution to manage their Personal Care services by January 1, 2019, and for all Home Health services by January 1, 2023. • States that do not implement EVV will incur a reduction of Federal funding.
st Cen 21 st ent ury Cures es Act The Act does not: • Limit the services provided • Limit provider selection • Constrain individuals choice of caregiver • Impede the way care is delivered • In any way establish an employer-employee relationship
W hat m ust EVV verify? y? Type of service performed I ndividual receiving the service Date of the service Location of service delivery I ndividual providing the service Time the service begins and ends
St at e E EVV M Model • Colorado selected a vendor that will provide EVV solutions, Hybrid while allowing all providers to choose alternative/ existing Model EVV systems, if they meet state specifications
• Providers have the flexibility to select their own EVV system • Providers have a no cost solution through the state if they so choose • Providers have centralized platform to use without Benefits of running their own procurements, alleviating burden if Hybrid Model they choose • Centralized platform facilitates linking EVV with MMIS claims data
W hich Ser ervices R es Req equire E e EVV?* • Personal Care • Home Health • Private Duty Nursing • Hospice • Homemaker • In-Home Respite • Consumer Directed Attendant Support Services(CDASS) • In-Home Support Services (IHSS) • Independent Living Skills Training (ILST) • Specialized Medical Equipment and Supplies • Outpatient Physical Therapy, Occupational Therapy, Speech Therapy (provided in the home) • Managed Care and Fee-For-Service Delivery Options *Subject to CMS Guidance
Colorado E o EVV Technol olog ogies Mobile App • Services can be delivered in a variety of settings • It is accessible with ADA technology • Can work in rural/frontier areas and does not need Wi-Fi to collect the data • GPS location is not viewable on screen (GPS not required) • Web portal feature to provide flexibility for devices to input data Telephony • Landline can be used • It is accessible with ADA technology • Not internet or data dependent • Any phone may be used if landline is not available
Ben enef efit s o s of EVV • Improving accuracy of service delivery • Verifying visits on a real-time basis • Automating missed visit alerts to more quickly implement back-up plans • Validating hours of work • Eliminating billing data entry mistakes • Reducing costs related to paper billing and payroll
Dep epart m ent I m plem em en ent at ion Updat es es Contract and IAPD has been approved by CMS Contract with Sandata will be executed in the next few weeks • Program Business rules are currently in a drafting phase • Department service and provider rules Provider Survey
“ Soft ” Launc unch h • In this type of implementation, the state requires that EVV be submitted in accordance with a claim, but does not initially deny payment based upon a lack of data or incorrect use of EVV. • Instead, the state agency uses the information and errors to provide additional technical assistance and training targeted to key problem areas and providers that are struggling with the technology. • The soft launch period will give provider entities enough time to acclimate to the new requirements. Once the soft launch period is over, the EVV system(s) will begin denying claims if the system is not properly used.
EVV I m ple lem ent at at io ion T Tim im elin line* Phase 1 Phase 2 Phase 3 7/1/2019-12/31/2019 7/1/2018 -1/1/2019 1/1/2019-6/28/2019 • Launch the EVV • Collect stakeholder • Develop business input on scheduling Scheduling Module rules module • Launch Consumer • Execute contract • Start Third Party Directed Attendant • Start pilot phase Support Services System Verification • Develop (CDASS) Suite • Identify claims that Department Rules • interChange begins do NOT have EVV • Start training record editing claims • Launch Aggregator • Automate billing to • Outreach to providers with paid claims, but approved EVV • UAT Testing without • interChange begins • Launch BIDM corresponding EVV denying claims that do interface NOT have a • Identify Training corresponding EVV Gaps * Dates and times will be solidified upon contract execution
How Does es t he e EVV sy syst st em em w ork? What are the options if a client does not have a phone, data, or wi-fi? How can GPS be turned off? Do all members need to verify? Do all members need to have a device ?
Top 3 ADA Compliance Concerns Addressed Concern Compliance Members with visual All EVV S ystem features and impairments will not be able to functionality are available via assistive use the EVV system. technology Members with limited mobility Voice-Recorded S ignature Verification; will not be able to sign to available both in Mobile Application and verify the services they Telephony functions received. Members who may want to S andata’s telephony offering has a verify using the Telephony standard non-acoustic connection can be option will not be able to due utilized as with any telephony. to hearing impairment s.
Compliance Clarification from Sandata: FAQ and Fact Sheets will soon be released to address details extracted from S andata’ s Voluntary Product Accessibility Templates (VPATs) that demonstrate how the EVV system will be ADA compliant and how it is able to meet the needs of stakeholders with varying abilities .
Policy Considerat rat ion ons S andata system app 1.The system will will turn off the use not have of microphone and requirements for photos during the preset locations or verification process times 1.The system needs 1.The system allows to allow for adequate time for multiple service family caregivers to delivery locations in confirm services a single visit
Top Fi Five FA FAQ If the delay bills are passed how does that impact the CO implementation? Will CO apply for an extension ? When will certification information for 3 rd party vendors be released? How has CMS defined a good faith effort? How can I get involved in the EVV stakeholder process?
Nex ext S St ep eps • Develop Business Rules with Sandata • Finalize a training plan and pilot phase • Monitor the Federal delay bills, H.R.6042 and S.2897, which request a delay in implementation for up to 1 year • Continue to seek CMS guidance on services required under EVV • Develop new FAQ’s for stakeholders around Participant Directed, System Design, and Privacy • Meetings are updated on EVV website
Your Feed eedback M Mat t er ers Stakeholder Questions, Concerns and Recommendations
Con ont ac act Lana Eggers & Danielle Walker EVV@state.co.us
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