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EVV Requirement Goes Live Jan. 1st

Electronic Visit Verification (EVV), as implemented by the State and required under the federal 21st Century Cures Act, goes into effect starting Jan. 1, 2021. The EVV program establishes a system whereby Medicaid providers of personal care services (PCS) will verify date, time, location, and PCS provided to each Medicaid recipient. Provider agencies of Medicaid PCS should be submitting an attestation form under the requirement by the Jan. 1st start date. To submit the attestation, home care agencies and fiscal intermediaries (FIs) must be enrolled in the Medicaid program through eMedNY. Providers should not delay in this process.

DOH issued a communication to FIs about the attestation process last week. The eMedNY enrollment portal is open for FIs not enrolled who need to sign the EVV Attestation and submit EVV data. Once eMedNY enrollment is processed and approved, FIs will need to sign an electronic copy of the attestation on the eMedNY EVV page. Once the electronic version is submitted, it will become the FI’s annual renewal begin date.

While the enrollment application is being processed for approval, FIs must complete and sign a paper attestation and send it as a PDF to the Department of Health (DOH) via the EVVHelp@health.ny.gov mailbox.

Providers and FIs that fail to comply in a timely manner with these obligations are at risk for their claims for services being denied and/or the issuance of an overpayment demand letter followed by recoupment procedures. Providers may also be subject to penalties.

More information about the EVV program and a copy of the attestation can be found in the EVV Program Guidelines and Requirements document and here.

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