powered by LeadingAge New York

DOH Posts EVV Next Steps and Program Guidelines and Requirements Documents

The Department of Health (DOH) Office of Health Insurance Programs (OHIP) has posted the Electronic Visit Verification (EVV) Program Guidelines and Requirements document to the EVV website.

The document serves to define the roles, responsibilities, decision-making authority, and process for EVV implementation and maintenance in New York State. It addresses the following topics: 

  • Background on EVV 
  • Choice model
  • New York State aggregator background
  • Verification Organization program through the Office of the Medicaid Inspector General (OMIG) 
  • Medicaid enrollment
  • Provider responsibilities
  • Required programs
  • Consumer Directed services
  • Compliant technologies
  • Verification 
  • Data submission and retention
  • Device management
  • Device costs
  • Manual paper timesheet entries
  • Travel
  • Live-in caregiver exemption
  • Training requirements
  • Fee-for-service billing codes
  • Managed Care billing codes

DOH also issued to stakeholders its EVV Overview and Next Steps communication which lays out the requirement and next steps for providers and submitters in the roll out of the requirement. This document references the eMedNY enrollment process, EVV attestation and the processes to begin testing API connectivity and data submission.

EVV is a requirement established by the federal 21st Century Cures Act. For more background on the requirement, please see LeadingAge NY's past Intelligence articles here and the DOH website here.

Providers can subscribe to receive email updates on EVV in New York State by emailing listserv@listserv.health.state.ny.us. Please be sure to include the following in the body of your email sign-up request: SUBSCRIBE EVV-L YourFirstName YourLastName. 

EVV-related questions should be directed to EVVHelp@health.ny.gov.

Contact: Meg Everett, meverett@leadingageny.org, 518-929-9342