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Caregivers and Providers - FAQs

Caregivers & Providers - 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

 

What programs require EVV?

Home Help, Home Health, Children's Waiver*, Habilitation Supports Waiver*, Wavier for Children with Serious Emotional Disturbances* (i.e.,*These programs provide Behavioral Health Community Living Supports services), MI Choice Waiver, Community Transition Services, and MI Health Link programs are required to use EVV when delivering personal care or home health care services. 

 

What services require EVV?

If you provide 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 you must validate those services through an EVV system.

 

Will EVV affect the services I currently deliver?

EVV does not affect the delivery of services you provide under the beneficiary's, client's or participant's approved plan of care.

 

Do I always have to use EVV when I provide a service?

If you provide Medicaid-funded personal care or home health care services for beneficiaries, clients or participants enrolled in Home Help, Home Health, Children's Waiver*, Habilitation Supports Waiver*, Waiver for Children with Serious Emotional Disturbances* (i.e.,*These programs provide Behavioral Health Community Living Supports services), MI Choice Waiver or MI Health Link, then you must use an EVV system when you provide those services. 

 

May a provider opt out of using EVV? 

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

 

Will caregivers and providers be trained on how to use EVV?

Yes. The MDHHS will provide training to agency staff, caregivers and providers, as well as beneficiaries, clients and participants.

 

When will I as a service provider start to use EVV?

The Michigan Department of Health and Human Services is in the early stage of developing an EVV system.  As we work through this process we will continue to ask for input from stakeholders, providers, beneficiaries, individuals and family caregivers who provide personal care or home health care services.

 

When does the new requirement for EVV take place?

The 21st Century Cures Act is a federal law that requires states to use Electronic Visit Verification for Medicaid by January 1, 2020, for personal care services, and January 1, 2023, for home health care services.

 

Once EVV is implemented in January 2020 for personal care services and January 2023 for home health care services, will there be a requirement to send the data or just that we need to be able to give the information at the time of an audit?

Implementation of Electronic Visit Verification requires data transmission of the six mandated elements via a data aggregator. The intent of an electronic system is to send data of the six elements electronically at the time services are provided.

 

Will EVV be available in multiple languages?

The MDHHS is aware of the diversity that exists within our state and is taking into consideration various languages and how this may affect providers, beneficiaries and individuals. 

 

How will individual caregivers and agencies get paid once EVV is implemented?

Providers (individual and agency) will continue to receive payments via the same payment processing systems that are currently used. 

 

Will providers be mandated to use a specific system?

The Michigan Department of Health and Human Services has decided to go with an open system, that may allow providers with an EVV system the ability to continue using their current system. However, providers that currently do not have an EVV system will have the ability to use the state-developed EVV system. The Michigan Department of Health and Human Services continues to urge providers that no action is needed at this time. 

 

Is there any information about the technical requirements for our organization's EVV software system in order to integrate with Michigan's EVV system?

MDHHS has not determined technical specifications for external EVV systems at this time. MDHHS will communicate with providers as more information is learned.

 

If we choose not to use Michigan's EVV system, will providers be mandated to use a specific external EVV system?

The Michigan Department of Health and Human Services (MDHHS) maintains providers have the option to use Michigan's open EVV system. Providers also have the option to pursue investing in the purchase and use of an external EVV system. MDHHS has not made any decisions on what an external EVV system might look like, how it will work, what technical standards that external system must meet, or how EVV data might be shared with the State of Michigan from an external system. MDHHS continues to urge providers that no action is needed at this time.

 

We are an agency without an EVV system but are thinking of incorporating an accounting software application. As several EVV systems and accounting software applications are available for the provider to choose from, can you provide information regarding external EVV systems or accounting software applications that could be used by providers? 

MDHHS is aware of the multiple external EVV systems that include accounting/payroll functionality or standalone accounting/payroll software systems. MDHHS is in the initial stages of development and is not able to provide specific guidance as it relates to operational standards for external EVV systems that may or may not include accounting/payroll functions or for standalone accounting/payroll software systems.

 

Will EVV apply to personal care services in a congregate setting throughout a twenty-four period?

Per CMS guidance1, EVV is not applicable to "in-home visits" where twenty-four-hour service is available for personal care services in a congregate setting (e.g., group homes, assisted living facilities, etc.). 

 

Will EVV apply to home-delivered meals?

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

 

How will Electronic Visit Verification work for parents who are caregivers of their adult disabled child in their own home?

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. As MDHHS works toward the implementation of EVV we often communicate with the Centers for Medicare & Medicaid Services (CMS) for additional guidance. The Department intends to communicate with everyone impacted by EVV as new information is learned.

 

Who can I contact to find out more information?

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

 

Has Michigan selected an EVV aggregator or vendor through the Request for Proposal (RFP) process? And where can I find out more information about this process?

Michigan has not yet selected or initiated its RFP procurement process to select an EVV aggregator or vendor. When decisions are made, the MDHHS will publish information on the Michigan Department of Technology, Management and Budget DTMB Procurement webpage which serves as the state's centralized purchasing authority. MDHHS will notify stakeholders once Michigan has selected an EVV aggregator or vendor.  

 

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. EVV notifications will be sent to you via email if you register with Michigan's EVV Listserv.

 

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.


1. CMS FAQ: https://www.medicaid.gov/federal-policy-guidance/downloads/faq051618.pdf 

 

Updated as of June 16, 2022.

 

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