EVV Overview for Behavior Analysis Powered By Agenda 1. What is - PowerPoint PPT Presentation

EVV Overview for Behavior Analysis Powered By

Agenda 1. What is EVV 2. Who is Tellus 3. Next Steps 2 Powered By

AHCA Florida What is EVV? § The EVV system must provide the following Mobile technology required by Florida’s Agency for information: Health Care Administration (AHCA) for Behavior ―Date of service ―Individual receiving service ―Location of service Analysis beginning 9/1/2019: ―Time the service ―Name of individual begins and ends providing service • Accurately verifies visit activity and services ―Type of service delivered. § Required to be fully implemented by 9/1/2019 in three pilot regions (9,10,11) for reimbursement of • Provides transparency via real-time data to improve Behavior Analysis services in the counties of Miami-Dade, Monroe, Broward, Indian River, client outcomes, operational efficiencies and program Okeechobee, St. Lucie, Martin and Palm Beach integrity. Benefits of EVV • Reduces Medicaid fraud, waste and abuse. • Helps ensure needed services are provided on time and recipients get the services they need. Reduced Fraud, Greater Improved Care Waste, and Transparency Outcomes Abuse 3 Powered By Powered By

EVV History in Florida • Tellus was awarded the EVV Home Health contract with the State of Florida Agency for Health Care Administration. • Provider implementations started at the end of 2017. • 400+ providers using Tellus Mobile App. • Providers are submitting claims same day as visit. • In full production with mandatory deadline for claims submission through the Tellus eVV Claims Console since October 1, 2018. 4 Powered By

What is EVV? • EVV is a technology that electronically verifies when and where care is rendered. • The free application is enabled with Global Positioning System (GPS) technology. • GPS coordinates are recorded only at the start time of a visit (check in) and end time of a visit (check out) – the provider’s movements are not tracked. • GPS doesn’t rely on cell or Wi-Fi service availability – GPS uses satellite technology. • The chosen EVV system works in an offline mode – check in and check out data is encrypted on the device until it is back in cellular or Wi-Fi range to transmit the data. • EVV requires the rendering provider to check in and check out using a smartphone application each time a visit begins and ends. (If you primarily deliver services within a facility setting, the System Administrator will administer the check in and check out process via laptop.) • The EVV system links the electronic record of provider check in and check out with claim submission – ensuring submitted claim information is valid and aligns with the prior authorization information. Reduced Fraud, Waste, and Greater Improved Care Abuse Transparency Outcomes 5 Powered By

Provider Experience Calendar Check In Check Off Check Out Confirm 6 Powered By

Scheduling Visits/Appointments • The EVV System Administrator will schedule (recurring & one-time) visits/appointments that will appear on the Provider’s calendar within the Tellus Mobile Application. • The Provider will be able to schedule visits/appointments in real time from their Tellus Mobile Application. • Visits/appointments can be scheduled to start and end at different locations (i.e: begin in a facility and ends in the community). Reduced Fraud, Waste, and Greater Improved Care Abuse Transparency Outcomes 7 Powered By

What the Administrator Can See • Real-time visibility to visit data: • Missed visit report. • Late visit report. • Centralized electronic claims submission. • Same-day billing. • Mobility and flexibility for home and community-based care. EVV Compliance Timelines: • September 1, 2019: Behavior Analysis Services. 8 Powered By

Real-Time Console • Scheduling Module. • Prior Authorizations. • Visit Status. • Claims Status. • Provider Messaging. • Reports. 9 Powered By

Processing Timelines & Controls Provider Payer Typically Near Real Time Controlled Controlled Nightly Provider Tellus Payer Visit Data Visit Tellus Pre- Remediates & Generates & Adjudicates Returned to Releases Transmits and Pays Completed Adjudicates Tellus Claim Claim Claim Tellus system creates the claim, the provider remediates and releases the claim and then Tellus sends the claim in to the FMMIS system. Payments remain on the same cycle that exists today. 10 Powered By

Service Codes: Mod HCPCS Mod I Description II Behavior Analysis - Assistant H2012 BA Behavior Analyst H2014 BA Behavior Analysis - Technician H2014 BA GK Behavior Analysis – Group (up to 6) H2019 BA Behavior Analysis – Lead Analyst 11 Powered By

The Process • Lead Analysts and Behavior Analysis Groups learn how to register with Tellus. • This process begins mid-June with instructions provided during live meetings in each of the pilot regions along with webinars. Training schedules will be posted for the June sessions by June 1 st @ https://4tellus.com/ahca-ba • • Training for System Administrators will be provided (July/August) • Training for Administrators will be delivered via in-person training and webinars. • Administrative Console/Scheduling session (90 minutes) • Claims session (60 minutes) • Training for Providers/Users will be provided (July/August) • Training for Providers/Users will be provided soon after the Administrators training • Training for Providers/Users will be delivered via webinars. • Mobile Application session (60 minutes) • Visits/appointments scheduled via the EVV System Administrator Console for services to be delivered on or after September 1, 2019. • Providers will check in and check out for visits on the EVV Mobile Application September 1, 2019. • Visits/appointments will be available on the EVV System Administrator Console for review and submission to AHCA for payment September 1, 2019 . 12 Powered By

The Tellus eVV Platform CAPTURE MANAGE PROCESS Visit Verification, Data Point of Care check in, Real-time workforce Aggregation & check off & check out management Fraud-Waste-Abuse BI A comprehensive, yet flexible, platform to improve care, drive efficiency and speed reimbursements Powered By 13

Next Steps • On or after June 1, 2019, sign up for one of the June in-person sessions or webinar training on Next Steps with Tellus (Registration) to Implement EVV. • Beginning June 1, 2019, visit https://4tellus.com/ahca-ba • Set aside time in July and/or August to attend appropriate training: • Administrative Console/Scheduling session (targeted towards System Administrators) • Mobile Application session (targeted towards Providers/Users) • Claims session (targeted towards System Administrators) • Be ready to use the EVV System by 9/1/2019. Reduced Fraud, Waste, and Greater Improved Care Abuse Transparency Outcomes 14 Powered By

Contact Us ahca ba evv @4tellus.com Additional Resources http://ahca.myflorida.com/Medicaid/index.shtml Click Behavior Analysis Services Information 15 Powered By