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Beneficiaries, Clients & Participants - FAQs

Beneficiaries, Clients & Participants - FAQs

For questions related to the HHAeXchange system visit the HHAeXchange Michigan Information Center FAQs

What is Electronic Visit Verification (EVV)?                          

EVV is the use of an electronic system such as a phone or computer to verify the delivery of your Medicaid services.

The EVV system will electronically capture:

  1. The type of service performed;
  2. Beneficiary, client or participant receiving the service;
  3. Date of the service;
  4. Location of service delivery;
  5. Individual providing the service; and
  6. Time the service begins and ends

 

How will I know if my program is required to use EVV?

Program Personal Care Services Home Health Care Services
MI Choice X
MI Health Link X X
Medicaid Managed Care X
Behavioral Health X
Home Health X
Home Help X

 *Table is subject to change. There may be other programs and/or codes that could be impacted as Michigan further develops EVV policy.

Per policy bulletin MMP 24-21 PCS provided through Community Transition Services (CTS) are exempt from using EVV at this time.

 

Has Michigan selected an EVV system and where can I find out more information about this process?

In March of 2023 the Michigan Department of Health and Human Services (MDHHS) awarded a $11.3 million, five-year IT contract to HHAeXchange to provide an EVV system that includes data collection, data aggregation, and a pre-billing module to support MDHHS and its providers. Press Release: MDHHS Launching Electronic Visit Verification System

 

What services require EVV?

Per CMS, EVV must be used to record all personal care services and all home health care services that require an in-home visit. CMS defines personal care services as help with:

  • Activities of Daily Living (ADLs), such as bathing, dressing, toileting, mobility, and grooming.
  • Instrumental Activities of Daily Living (IADLs), such as meal preparation, shopping, laundry, and housekeeping.

If you receive Medicaid-funded personal care or home health care services such as assistance with ambulation, bathing, dressing, grooming, personal hygiene, meals, and homemaker services through any of the five programs listed above, then your caregiver must validate those services through an EVV system. 

The Michigan Medicaid program covers PCS that are provided under the State Plan and waivers of the plan. The following services and their procedure codes listed by program encompass PCS. 

Program Program Code Service Description
Behavioral Health* H2015 Community Living Supports (CLS)
T1005 Respite Care, per 15 minutes
Community Transition Services (CTS) T1019 Personal Care Services (PCS), per 15 minutes
Home Help N/A Personal Care Services (PCS)+
MI Choice H2015 Comprehensive Community Support Services, per 15 minutes
S5150 Unskilled Respite Care, not Hospice, per 15 minutes
MI Health Link H2015 Comprehensive Community Support Services, per 15 minutes
S5150 Unskilled Respite Care, not Hospice, per 15 minutes
T1019 Personal Care Services (PCS), per 15 minutes
Home Health




G0151 Physical Therapy
G0152 Occupational Therapy
G0153 Speech/Language Therapy
G0156 Home Health Aide
G0299 Skilled Nursing Services, RN
G0300 Skilled Nursing Services, LPN

     *Behavioral Health services that start and/or stop in the home (POS/Location code 12) require EVV. 

     +All Home Help services require EVV.

 

Will EVV affect the services I currently receive?   

No. EVV does not affect the delivery of the services you currently receive under your approved plan of care.

 

Will beneficiaries, clients, and participants who receive personal care or home health care services be trained on how to use EVV?     

Yes. The MDHHS will provide training to persons who receive these services. We will also provide training to agency staff, caregivers, and individuals who provide these services.

 

May I opt out of having my services validated by an EVV system?

No. The federal law requires caregivers and providers to validate the delivery of your personal care or home health care services in an EVV system.

 

When will I start to have my personal care or home health care services validated by an EVV system?

As outlined in MMP 24-21 the timeline is as follows: 

Home Help individual caregivers must use EVV no later than September 3, 2024. The final start date will be published at a later date. 

April 1, 2024 July 1, 2024 September 3, 2024

Home Health Fee for Service

Home Help Agency Personal Care Services

  • Behavioral Health
  • Community Transition Services (CTS)
  • MI Choice Waiver
  • MI Health Link
    Personal Care Services
  • Managed Care Home Health Care Services

 

Will EVV apply to home-delivered meals?

No. EVV does not apply to home-delivered meals as offered by Michigan's Meals On Wheels.

 

Who can I contact to find out more information?               

The MDHHS will continue to update this website as more information on EVV becomes available. E-mail questions to MDHHS-EVV@michigan.gov.

 

Where can I find more information and stay current on Michigan's progress with EVV?

MDHHS will continue to update the EVV website as more information becomes available. Questions about EVV may be emailed to MDHHS-EVV@michigan.gov.
For questions or help using the HHAeXchange system contact HHAeXchange at 1-866-576-1179 or visit the Michigan Information Center website at www.hhaexchange.com/info-hub/Michigan.

 

How will Michigan ensure that access to the State of Michigan's EVV System is not too costly?

The goal of MDHHS is to not affect services currently being received, and that any additional cost is kept as low as possible due to an increase in data usage when accessing the EVV system. It is unknown at this time if access to the EVV system will result in additional costs to the individual providing or receiving the service using the EVV system.

 

Will EVV allow approved plan services outside of the recipient's primary residence?

EVV will not change the policy of where services can be provided. Per CMS, an EVV system must be able to electronically verify services were provided in an individual's home or other location(s). Source: EVV Requirements in the 21st Century Cures Act.


Live-in Caregivers

How will EVV work for providers who live with the person they take care of?

MDHHS is aware of these types of circumstances that may exist and how they may potentially affect the provision of services to Medicaid beneficiaries and their caregivers. The state of Michigan is evaluating each program and has issued MMP 24-21 and MMP 24-34 in regards to live-in caregivers.  Additional guidance for Home Help live-in caregivers will be shared in a future communication.

 

Updated as of December 19, 2024.

 

 

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