Electronic Visit Verification Guidance Issued by CMS
The Centers for Medicare and Medicaid Services (CMS) released a CMCS Bulletin and FAQ document regarding its requirement that all states implement Electronic Visit Verification (EVV) use for all Medicaid-funded personal care services by Jan. 1, 2019 and home health care services by Jan. 1, 2023. The 21st Century Cures Act mandates that states implement EVV for all Medicaid personal care and home health care services that require an in-home visit by a provider. Personal care services include any personal care provided to individuals in Medicaid fee-for-service (and Medicaid managed care); consumer directed services; and personal care provided in Nursing Home Transition and Diversion (NHTD), Traumatic Brain Injury (TBI), or any other waiver program. Additional webinars on the requirement can also be viewed on the CMS website.
Currently, New York requires organizations with more than $15 million in Medicaid revenues (fee-for-service and managed care) to utilize a verification organization (VO) to verify services via EVV prior to submission of claims. LeadingAge NY will keep members abreast of the State’s implementation of this federal requirement.
Contact: Meg Carr Everett, meverett@leadingageny.org, 518-867-8871