Electronic Visit Verification - January 15, 2019
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Electronic Visit Verification
January 15, 2019
W ELCOM E
HCPF Introductions
Restroom location
2
Agenda
1. Introductions
2. Brief Overview of EVV
3. Stakeholder Reassessment
4. Provider Survey Results
5. Open Forum
3M eeting Guidelines
We ask that you:
• Mind E-manners
• Identify yourself when speaking
• Share the air
• Listen for understanding
• Stay solution and scope focused
4M eeting Purpose
The purpose of this meeting is to engage providers, members, and other
stakeholders as the Department works to implement EVV for community based
services offered through both the State Plan and Waivers.
And specifically to:
• Review EVV, the legislative mandate, and the scope of implementation
• Discuss EVV Implementation Process
• Review Provider Survey Results
• Address Stakeholder Concerns
• Provide a Platform to Gather Stakeholder Feedback
5Stakeholder Engagem ent
Considerations
6W hat is EVV?
• Electronic visit verification (EVV) is a technology solution
which electronically verifies that home and community-
based services are actually delivered to people needing
those services by documenting the precise time service
begins and ends.
• Includes multiple point-of-care visit verification
technologies, such as telephonic, mobile, web portal
(Santrax) verification inputs.
7W hy is EVV required?
• Section 12006 of the 21st Century Cures Act requires all state
Medicaid agencies implement an EVV solution to manage
their Personal Care services by January 1, 2019, and for all
Home Health services by January 1, 2023.
• States that do not implement EVV will incur a reduction of
Federal funding.
• H.R. 6042 delays FMAP reductions from 2019 to 2020.
8W hat m ust EVV verify?
Type of service performed
Individual receiving the service
Date of the service
Location of service delivery
Individual providing the service
Time the service begins and ends
9State EVV M odel
Hybrid Model
• Colorado selected a vendor that will provide
EVV solutions while allowing all providers to
choose alternative/existing EVV systems, if
they meet state specifications.
10Benefits of Hybrid M odel
• Advocates for Provider and Member choice
• Providers have a no cost solution through the state if they so choose
• Providers have centralized platform to use without running their own
procurements. Alleviating burden, if they choose
• Centralized platform facilitates linking EVV with MMIS claims data
11Colorado EVV Technologies
Mobile Application Telephony
Provider Web Portal
( Santrax)
12W hich Services Require EVV?*
• Personal Care • In-Home Support Services (IHSS)
• Pediatric Personal Care • Independent Living Skills Training (ILST)
• Home Health • Outpatient Physical Therapy
• RN, LPN, CNA, PT, OT, SLP • Occupational Therapy (provided in the home)
• Private Duty Nursing • Speech Therapy (provided in the home)
• Hospice • Behavioral Services (provided in the home)
• Homemaker • Pediatric Behavioral Services
• In-Home Respite • Youth Day
• Consumer Directed Attendant Support Services (CDASS) • Durable Medical Equipment (requiring in-home set up)
*Subject to Change 13EVV Technologies
Mobile App (MVV) and Telephony (TVV)
• Main technologies for State EVV Solution
• Used by Attendant to verify services at time of delivery
Web Portal (Santrax)
• Used by Providers who utilize State EVV Solution
• View and verify visits
• Address expectations or errors
• Audit information
Data Aggregator
• Used by Providers who utilize a provider choice EVV system
• Collect 6 EVV data points for transmission to State
• View EVV data for correction in provider choice EVV system
14Electronic Visit Verification Roadmap 2019
Project Develop Develop
Colorado Collect User
and
Kickoff Finalize Rules and Stakeholder
Feedback Acceptance
Regulation Testing
2018 Training
Plan Draft on EVV CCR
Electronic Visit State
Verification System
and
Aggregator
Implementation Collect
Stakeholder
Release
Technical
Pilot
Live
Provider
ROADMAP Feedback on Specifications
CDASS and
Scheduler
for Provider
Choice
Systems
Phase Training
2018-2020
Test
Provider
Choice Continued
Systems Begin stakeholder Go Live
Configure feedback for Mandatory
CDASS
Module and
Soft system and
policy Use
Scheduler Launch improvements
for 2020 2020EVV GO-Live Corresponding Process
17EVV Process Ex am ple
18Questions
Stakeholder Engagem ent Assessm ent
What works for you in
Question the stakeholder
engagement done by
#1 the Office of
Community Living?
21How do you get
Question information from
#2 OCL and how does
that work for you?
22What information would
Question you like to receive from
OCL and how would you
#3 like to get that
information?
23Questions or Com m ents
Provider Survey Preliminary Results
W hich class does your agency fall
under?
Other 34%
Class B(non-medical) 43%
Class A&B 8%
Class A 16%
0% 10% 20% 30% 40% 50%
26How m any direct care w orkers does
your agency em ploy?
101 or more 12%
51-100 8%
21-50 14%
0-20 66%
0% 10% 20% 30% 40% 50% 60% 70%
27Please choose the service(s) you provide:
Youth Day Behavioral Services
Consumer Directed
0% 8%
Private Duty Nursing 0% Behavioral Services
2% Speech DME Consumer Directed
Therapy Home Health 1% DME
11% 6% Home Health
Homemaker
Hospice
ILST
Personal Care IN-Home Respite
16% Homemaker IHSS
16% OT
Pediatric Personal PT
Care Hospice Pediatric Behavioral Therapies
1%
ILST 1%
Pediatric Personal Care
PT Personal Care
9% 0% Private Duty Nursing
Pediatric Behavioral OT IHSS IN-Home Respite Speech Therapy
Therapies 10% 6% 8% Youth Day
3%
28P lease select w hat percentage of m em bers
served by your agency live in rural areas:
NONE 31%
LESS THAN 50% 57%
MORE THAN 50% 13%
0% 10% 20% 30% 40% 50% 60%
29How fam iliar are you w ith the requirem ents
of the 21st Century CURES Act?
Very Familiar
5%
Slightly Familiar
8%
Somewhat Familiar
19% Not At All
Familiar
50%
Slightly Not
Familiar
18%
30W hat is your m ain concern regarding
EVV im plem entation in Colorado?
TRAINING 36%
SYSTEM DESIGN 39%
SUPPORT FROM THE DEPARTMENT 28%
PRIVACY 13%
POTENTIAL IMPACT… 21%
POLICIES PERTAINING TO CDASS/IHSS 11%
IMPACT TO BILLING 49%
AWARENESS/COMMUNICATIONS 32%
0% 10% 20% 30% 40% 50% 60%
31Does your agency currently utilize
an EVV system ?
I DON'T KNOW 18%
NO 65%
YES 17%
0% 10% 20% 30% 40% 50% 60% 70%
32Do you plan to im plem ent the EVV System
being offered by the State of Colorado?
11%
26%
63%
No Yes Undecided
33W hich of the follow ing training options is your preferred
m ethod for receiving training from the Departm ent?
OTHER 5%
INDEPENDENT ELEARNING 45%
WEBINAR 34%
CLASSROOM 17%
0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50%
34Do you currently participate in the EVV stakeholder
m eetings hosted by the Departm ent?
Other 2%
Sometimes 9%
No 78%
Yes, EVV subcommitee 5%
Yes, General meetings 11%
0% 10% 20% 30% 40% 50% 60% 70% 80% 90%
35Questions
Departm ent Deliverables
Contract executed with DXC
Held kickoff meeting with DXC and Sandata
Updated EVV Implementation Timeline
Confirmed Service List
Provider Survey
List Certified Third-Party Vendors
Colorado Rules and Regulations Draft
37Top FAQ’S
1. How does a Provider agency know if EVV applies to them?
2. How much time does a provider agency have to decide if they
will use the state system?
3. As a provider agency, will my system be accepted if I enter
location or use manual entry to collect six data points?
4. Do members need a phone for telephony to work?
5. How will the mobile app work in rural environments?
38Nex t Steps
• Develop Updated EVV Timeline
• Develop Outreach Materials (i.e. Service Codes)
• Next Stakeholder Meetings:
• Participant Directed - January 29, 2019
• Training/Communications - January 30, 2019
39Your Feedback M atters
40Contact
Danielle Walker
303.866.6265
EVV@state.co.us
41You can also read
