Electronic Visit Verification General Stakeholder Meeting October - - PowerPoint PPT Presentation

Electronic Visit Verification

General Stakeholder Meeting

October 15, 2019

1

Our Mission

Improving health care access and

• utcomes for the people we serve

while demonstrating sound stewardship of financial resources

2

Welcome Stakeholders

• Restroom locations
• HCPF Introductions

4

Meeting 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

• ffered through both the State Plan and Waivers.

And specifically to:

• Review EVV, the legislative mandate, and the scope
• f implementation
• Discuss EVV Project Updates
• Review current implementation timeline
• Provide a platform to gather stakeholder feedback

5

Meeting Guidelines

We ask that you:

• Mind E-manners
• Identify yourself when speaking
• Share the air
• Listen for understanding
• Stay solution and scope focused

Agenda

Introductions Brief Overview of EVV Service Types Required for EVV Overview Colorado EVV Technologies Good Faith Exemption Request State System & Alternate Vendor Update Training Check-In

What is EVV?

7

• Electronic Visit Verification (EVV) is a technology

solution which verifies information through mobile application, telephony, or web-based portal

• EVV is used to ensure that home or community-

based services are delivered to people needing those services by documenting the precise time service begins and ends

• Section 12006 of the 21st Century Cures Act

requires all state Medicaid agencies implement an EVV solution

• States that do not implement EVV will incur a

reduction of Federal funding

• The Department intends to implement EVV for all

Colorado required services in late summer 2020.

What must EVV Capture?

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

9

Which Types of Services Require EVV?

EVV Required

• Select Fee for Services (FFS) State Plan and HCBS Waiver

Services EVV Excepted

• Per Diem Services, Managed Care, Program for All-Inclusive

Care for the Elderly (PACE), and other Capitated Services

• Personal Care
• Pediatric Personal Care
• Home Health: RN, LPN, CNA, PT, OT, SLP
• Private Duty Nursing
• Hospice
• Homemaker
• Respite (provided in the home or community)
• Consumer Directed Attendant Support Services

(CDASS)

• In-Home Support Services (IHSS)
• Independent Living Skills Training (ILST)
• Life Skills Training
• Physical Therapy (provided in the home)
• Occupational Therapy (provided in the home)
• Speech Therapy (provided in the home)
• Behavioral Therapies (provided in the home or

community)

• Pediatric Behavioral Health
• Youth Day
• Durable Medical Equipment (requiring in-home

visit setup) Delayed

Which Services Require EVV?*

*Subject to change

Behavioral Therapies Consumer Directed Attendant Support Services Home Health Homemaker Hospice Independent Living Skills Training and Life Skills Training In-Home Support Services Occupational Therapy Pediatric Behavioral Therapies Pediatric Personal Care Personal Care Physical Therapy Private Duty Nursing Respite and Youth Day Speech Therapy

11

Service Types Groupings

Service Location

12

• The Department recognizes that EVV services

can happen in the home or in the community.

• It is essential that EVV does not disrupt this

flexibility of service location.

• Services that happen in a facility or professional

building are exempt from EVV. Unless noted

• therwise.

Questions

• r

Comments

Key Terminologies

Term Meaning State EVV Solution State EVV system available to providers at no cost Provider Choice System EVV system procured, purchased, and used by a provider Alternate Vendor Vendor who manages a provider choice system Data Aggregator Where provider choice systems will submit EVV data to the State Solution

State EVV Model: Hybrid

Colorado selected a vendor that will provide EVV solutions, while also allowing providers to use alternative/existing EVV systems, if they meet state specifications: ✓ Providers choosing to use an alternate vendor must ensure that their system is configured to Colorado EVV rules and requirements. ✓ Provider Choice Systems must connect to the Data Aggregator ✓ Self-paced aggregator training must be completed prior to connecting to the Data Aggregator

State EVV Solution Overview

Colorado EVV Technologies

Mobile Application Telephony Provider Web Portal (Santrax)

Mobile Application: MVV

• Mobile Visit Verification (MVV): A GPS enabled mobile application

downloaded on a smartphone or tablet

• “Bring your own device” method that works on iPhone and Android
• GPS Enabled
• Captures location when a caregiver clocks-in/clocks-out
• No continual location reporting
• Direct care workers log-in with unique Sandata ID or email address
• Available in English, Spanish, Somali, Russian, Chinese Mandarin, and

Arabic Egyptian

Rural Area Considerations

• State EVV Solution application will work in rural areas or

telephony can be used

• MVV will automatically switch to “Disconnected Mode” when

smartphone or tablet is not connected to a network

• EVV data will be saved for a later transmission when the

caregiver logs-in and network connectivity (cellular or wi-fi) is established

Telephony Visit Verification (TVV)

• Each provider ID has two toll-free, multi-language

numbers

• Both numbers are accessible 24 hours a day, 7 days a

week

• Non-GPS option
• Client phone is preferred for TVV
• Location captured through ANI technology
• Member identified by Sandata Client ID
• Direct care workers identified by Sandata ID

Provider Portal

• Used for visit maintenance and administrative tasks
• Limited capacity for manual entry of EVV data
• Used by providers who utilize State EVV Solution
• View and verify visits
• Address expectations or errors
• State enforced manual entry threshold

Good Faith Effort Exemption Request

• Good Faith Effort Exemption request was approved 9/18/19
• Additional time will be used to explore solutions to exempt live-in caregivers
• Colorado anticipated EVV mandate will be late summer 2020
• The State EVV Solution and Data Aggregator are now live and available for use
• The Department strongly encourages providers to use EVV during the Soft-Launch

23

Colorado EVV Implementation Update

Early Adoption - Voluntary Soft Launch

• Began October

1st, 2019

Colorado Anticipated Mandate

• Summer 2020
• CCR Rule in

Effect

CMS Mandate

• January 1, 2021
• Pre-payment

claims review

24

Good Faith Effort Request Approved

State exploring live-in caregiver solutions

States that have requested a Good Faith Exemption

25

• The Department is currently working to develop a live-in

caregiver definition with assistance from the Participant Directed Services & Family Caregiver Subcommittee

• This definition will help guide the solution for exempting

live-in caregivers from EVV

• The Department welcomes comments at evv@state.co.us

26

Live-in Caregiver Definition

• Began October 1, 2019 when the State EVV Solution and Data Aggregator went live.
• Providers may begin to collect EVV data and transmit to the Department.
• Optional participation until EVV is mandated, estimated late summer 2020.
• Opportunity to familiarize providers with EVV prior to claims integration. Claims will

continue to pay and EVV errors will appear on remittance advice.

• Opportunity for caregivers to practice EVV collection and for members to become

accustomed to EVV.

• Help the Department identify and develop supplemental training materials.

27

Soft-Launch

28

Training Credential Check-in

Email: CO-HCPF-EVVProviderHelpdesk@etraconline.net Phone: (855) 871-8780

Questions

• r

Comments

Provider Choice System Process Overview

✓ Providers determine if they will use the State EVV Solution or a Provider Choice System ✓ Provider review technical specifications ✓ Providers coordinate with contracted EVV vendor ✓ Provider Choice Systems reach out to Sandata begin testing process Phone: (855) 871-8780 Email : CO-HCPF-EVVProviderHelpdesk@etraconline.net

31

Phase 1: Outreach

• 1. Providers register with Sandata to request test credentials
• 2. Sandata sends testing guide and checklist to providers
• 3. Sandata creates an account to support testing efforts
• 4. Sandata will provide contact information for Sandata’s technical interface support

team for questions and issues

32

Phase 2: Setup for Interface Testing with Sandata

• 1. Test files are uploaded by vendor and checklist is filled out
• 2. Provider sends completed checklist from vendor to Sandata and requests validation
• 3. If unsuccessful, the checklist marked with erroneous files/scenarios is sent back to

provider

• 4. The corrected checklist can be resubmitted until all errors are corrected

33

Phase 3: Interface Testing

• 1. Provider testing is successful
• 2. Sandata sends production credentials to provider
• 3. Provider takes aggregator training
• 4. Providers start sending EVV data to Department for Soft-Launch

34

Phase 4: Production Ready

Provider Choice System Update

• Business demand for provider choice vendors is higher than expected
• Due to the high volume of alternate vendor interface requests, the Department has

exceeded current system capacity

• Currently, 41 alternate EVV vendors connected to Sandata
• If your alternate vendor has already interfaced, there is no delay for interfacing
• If your alternate vendor has not already interfaced, there will be a delay in interfacing

until January 2020.

36

Alternate Vendor Interface

37

Interfaced EVV vendors

Accel Aidetech Alora Health Ampersand August Systems Axiscare Axxess Brightree Brightstar Brittcosoftware Careficient Carewatch Celltrak Clearcare Code Metro Npa Works Complia Health Connect A Voice Delta Health Technologies Epic Systems Formdox Generations HCBS Solutions Hha Exchange Interim Itherapydocs Inc Kantime Lovely Homecare Maxim Mckesson Motley Designs Netsmart Homecare Pointclickcare Primary Solutions Riversoft Salo Solutions Shoshana Technologies Solana Stryker Therap Wellsky Xoomia As of 10/10/2019

State Solution Update

Batch Upload requests are available as a one-time courtesy to provider agencies that serve 80 or more members using Medicaid-covered services by

• ffering a spreadsheet for the agency to populate

with their attendants and individuals using Medicaid- covered services. This must be completed prior to entry of data into the EVV system.

39

One Time Bulk Upload

• Load members into the State EVV Solution
• Load attendants and agency staff info into the State EVV Solution
• Process is facilitated by Sandata
• To request the one-time bulk upload, providers should contact Sandata EVV Support.

Email at CO-HCPF-EVVProviderHelpdesk@etraconline.net Phone (855) 871-8780

NOTE: Providers using a Provider Choice System are not eligible for the batch upload.

40

One Time Bulk Upload

Questions

• r

Comments

Electronic Visit Verification Roadmap 2019

Electronic Visit Verification Implementation Roadmap

2018-2020

Project Kickoff 2018

Develop and Finalize Training Plan

Develop Colorado Rules and Regulation Draft Collect Stakeholder Feedback

• n EVV CCR

User

Acceptance

Testing

State System and Aggregator Live

Collect Stakeholder Feedback

• n

Scheduler

Provider Welcome Letter Register for Training

Begin Soft Launch

Interface

Testing

Provider Training Call Center Available

Go Live Mandatory Use Summer* 2020

Release Technical Specifications for Provider Choice Systems

*Subject to change

Training Overview

Types of Training

INSTRUCTOR LED CLASSROOM TRAINING INSTRUCTOR LED WEB-BASED WEBINAR TRAINING SELF-PACED ELEARNING INFORMATION

Participant Guide User Manual

Caregiver FAQ Caregiver Letter

Coming Soon

46

Training Materials

EVV Project Accomplishments

47

Roadshow completed Technical Specifications released Two EVV

• verview

videos available

• nline

Provider Welcome Letter Service Types Document Completed Training Registration live New EVV website State EVV System Live

Questions

48

Contact Information

49

Lana Eggers EVV@state.co.us

Thank you!

50