EVV Stakeholder Meeting Julie Evers, EVV Policy Kristy Wathen, EVV Operations Marguerite Marsh, HIPAA Privacy Officer Matthew Williams, Bureau Chief, Information Security and Technology June 25, 2018 1
Welcome and Intros 2
EVV Security and Privacy 3
Phase 2 Timeline 4
EVV Phase 1 Timeline • Starting July 08, 2018, the grace period for Phase 1 providers is no longer in effect. All data is subject to audit. This means visit data as well as data integrity. • August 15, 2018, units conversion will be live in EVV and EVV related edits will begin being posted for ALL affected providers on their EOB’s. • November 2018, ODM will begin denying Phase 1 claims if a verified visit does not exist. 5
EVV Phase 2 Timeline • Jan/Feb 2019, the Sandata System will be live for Phase 2 providers to begin using once they’ve completed training. • Jan/Feb 2019, training will begin for providers. • May 06, 2019, EVV Rule will be in effect mandating use of EVV for Phase 2 providers. • Summer/Fall 2019, Phase 2 claims will begin to deny if a verified visit does not exist. • May 2020 – Phase 3 Go Live 6
Phase 2 Services 7
Phase 2 Services – Fee For Service • PASSPORT (ODA) » Nursing » Personal Care » Home Care Attendant • Individual Options and Level One » Homemaker Personal Care » Nursing » Delegated Nursing 8
Phase 2 Services – Managed Care • Home Health Nursing • Home Health Aide • Private Duty Nursing • RN Assessment • MyCare Waiver Nursing • MyCare Waiver Homecare Attendant • MyCare Waiver Personal Care Aide 9
Medical Assistance Letter 620 10
MAL 620 • Supplements Information in OAC Rule 5160-1-40 • 3 Changes » App available August 1 st » 90 day exception eliminated » EVV data will be used in claims adjudication Available on ODM EVV webpage 11
EVV Related Edits 12
Data Elements Used to Match Claims to Visits • Individual Receiving Services • Billing (Rendering) Provider • Date of Service • Service Delivered • Number of Units *Only visits with no exceptions will be used to match claims 13
Times on Claims • MITS will accept times • Times are not used in claims processing 14
3611 – EVV Not Verified • Check for Exceptions • Does the service match? • Do the units match? 15
Provider Tech Assistance Sessions 16
Provider Participation Date Slots Registered No Show Attended May 1, 2018 40 13 6 9 May 3, 2018 40 6 3 3 May 7, 2018 40 7 5 4 May 11, 2018 40 24 5 23 Total 160 50 19 39 17
Password Update 18
New Password Requirements • In January 2018, the State of Ohio moved to new password requirements. • Soon these password requirements will start appearing for providers who log into the EVV System. – Mobile Devices are not impacted. • The new password length will be 12 characters and users will need to update their passwords to the new format when their current password expires, or if they need their password reset. • New password format is: – A combination of at least 12 alpha-numeric (upper and lower case, and numbers), and special characters (ex., $, &, %, #); and – Creatively combined and seemingly unrelated words to create a complex password that can withstand attack. 19
EVV Webpage Update 20
Updated EVV Webpage • ODM has worked with our Communications Bureau to create a more user friendly EVV Webpage. • There are now distinct tabs for providers, individuals, and resources. • Please check out our new layout at Medicaid.ohio.gov/EVV. 21
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