Elect ron onic Visit Verificat ion on May 15, 2018 1
W EL ELCOME! E! HCPF Introductions Restroom location • Sign in sheet 2
Meet eet ing Guidel elines es We ask that you: • Mind E-manners • Identify yourself when speaking • Share the air • Listen for understanding • Stay solution and scope focused 3
Meet eet ing Purpose se 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 • Rules Process • Subcommittee Updates • MythBusters • Discuss top five FAQ’s • Solicit feedback from stakeholders 4
W 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 and fixed visit verification inputs 5
W hy y is EVV required? • Section 12006 of the 21 st Century Cures Act requires all states implement an Electronic Visit Verification (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. 6
st Cen 21 st ent ury Cures es Act The Act does not: • Limit the services provided • Limit provider selection • Constrain individuals choice of caregiver • Impede the way care is delivered • In any way establish an employer-employee relationship 7
Ben enef efit s o s of EVV • Improving accuracy of service delivery • Verifying visits on a real-time basis • Automating missed visit alerts to more quickly implement back-up plans • Validating hours of work • Eliminating billing data entry mistakes • Reducing costs related to paper billing and payroll 8
I m plem em en ent at ion Part ner ersh ship • The Department recognizes there are multiple services and service delivery options that are impacted by the implementation of EVV. • Collaboration with stakeholders on the development and implementation of EVV across all services and service delivery options is vital. Your input and engagement is greatly appreciated. 9
Dep epart m ent I m plem em en ent at ion Updat es es All four st akeholder subcommit t ees have met and ident ified t op concerns per group CO has reached out to over 15 states to gain insight on their implementation process CO has part nered wit h NAS AUD t o est ablish Cross S t at e EVV workgroup bi weekly call Contract with S andata will be sent to CMS in the next few weeks Developed updated EVV F AQ EVV updates will start going out via HCPF social media EVV’s new website will be posted this week 10
EVV I m plem em en ent at ion Tim el eline e Department is paying careful consideration to Stay ensure EVV implementation is Tuned minimally burdensome by incorporating stakeholder feedback 11
Draft of Rules es and Reg eg 12
Draft of Rules es and Reg eg 13
Draft of Rules es and Reg eg 14
Draft of Rules es and Reg eg 15
Rules es and Reg eg Process ess * • Rule Documents to MSB Coordinator – Sept. 17,2018* * All Stakeholder feedback is needed by this date • Public Rule Review Meeting – Sept. 24, 2018 • Final Version of Rule Prior to MSB Hearing – Oct. 1, 2018 • Medical Services Board I nitial Approval Date – Oct. 12, 2018 • Medical Services Board Final Adoption Date – Nov. 9, 2018 • Medical Services Board Final Adoption Date – Dec. 30, 2018 16
EVV Subcom m it t ee Planning • EVV Communication Plan As part of the Department’s implementation of EVV, the Department will be developing an EVV communication plan. This plan will identify reasonable outlets to communicate implementation progress updates to stakeholders. Currently, the Department is working on creating a EVV message for the Department’s stakeholder bulletin, an EVV website, and increasing the EVV email stakeholder list. • EVV Training Plan To ensure proper training of Colorado members and providers, the Department request the help of stakeholders to develop a reasonable training plan for EVV. This plan will look at different states EVV training procedures and identify the best processes for Colorado. 17
EVV Sub ubcom m it t ee Planni nning ng • EVV System Design The Department will be setting up a subcommittee to focus on system design of Colorado’s EVV. This subcommittee will address members and providers concerns, as well as take feedback from the development of EVV. • Consumer Directed Attendant Support Services - System Design The Department will facilitate a subcommittee meeting for Consumer Directed Attendant Support Services. This meeting is an opportunity for stakeholders to work with our Financial Management Service vendors and give input on the system design of EVV. Stakeholders who wish to be a part of a subcommittee please contact EVV@state.co.us with your request 18
Subcom m it t ee e Updat es es Training/Communication System Design Privacy CDASS/Parent Caregiver 19
Subcom m it t ee e Updat es es CDASS/Parent Training Privacy System Design Communication Caregiver Ensure System is Members Why EVV is Members not prepared to maintain important accommodate tracked autonomy narratives any errors Robust No Billing Not ADA Data is safe Communication disruptions compliant Plan 20
EVV W eb ebsi sit e e • Website will have: S t akeholder S pecific F AQ’s Resources Comment Box All ot her pert inent informat ion regarding EVV 21
EVV Team Policy S pecialist Quality Assurance Communications Health Information Office Health Programs Office Operations Analyst 22
Myt hBust st er ers s My data is not safe False in the EVV system CO is unnecessarily moving fast on the True and False implementation process EVV will Decrease False home health workers 23
Top Fi Five FA FAQ How will CO ensure a smooth implementation of EVV? How will EVV ensure privacy? What are options for verification? Will CO ask for an extension? What is the cost to use EVV? 24
Your Feed eedback M Mat t er ers Stakeholder Questions, Concerns and Recommendations 25
Nex ext S St ep eps • Contract will be sent to CMS in the next few weeks • Reoccurring subcommittee times will be determined • Next Full Stakeholder Meeting: June 19, 2018 - details will be emailed and posted • EVV Stakeholder Meeting Website: Presentation will be published after this meeting 26
Con ont ac act Bryan Fife & Danielle Walker EVV@state.co.us 27
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