Overview of the 21 st Century CURES Act The CURES Act is designed to - PowerPoint PPT Presentation

Section 12006 of the 21 st Century CURES Act: Electronic Visit Verification Systems Shannon Spence Personal Care Services Unit Manager February 26, 2018

Overview of the 21 st Century CURES Act • The CURES Act is designed to improve the quality of care provided to individuals through further research, enhance quality control, and strengthen mental health parity. • Section 12006 of the CURES Act requires states to implement an electronic visit verification (EVV) system for Personal Care Services (PCS) by Jan. 1, 2019 & for Home Health Services (HHCS) by Jan. 1, 2023. SOURCE: CMS (2017) Section 12006 of the 21 st Century CURES Act Session 1: Requirements, Implementation, Considerations, and State Survey Results [PowerPoint Slides]. Retrieved from https://www.medicaid.gov/medicaid/hcbs/downloads/training/evv-presentation-part-1.pdf. ELECTRONIC VISIT VERIFICATION| FEBRUARY 2018 2

What is EVV? • EVV is a method used to verify visit activity for services delivered as a part of home and community based service (HCBS) programs. • EVV offers a measure of accountability to help ensure that individuals who are authorized to receive services, receive them. ELECTRONIC VISIT VERIFICATION| FEBRUARY 2018 3

EVV Requirements • EVV Systems MUST ST verify: − Date of Service − Location ion of service delivery − Individ ividual ual pro rovid viding ing service − Typ ype of service performed − Individ ividual ual receiving ving service − Time service begins and ends ELECTRONIC VISIT VERIFICATION| FEBRUARY 2018 4

Services to be included in EVV • Phase 1 — Target Jan. 1, 2019 − 1905(a)(24) State Plan Personal Care Services benefit − 1915(c) HCBS Waivers − 1915(i) HCBS State Plan Option − 1915(j) Self-directed Personal Attendant Care Services − 1915(k) Community First Choice State Plan Option − 1115 Demonstration Waiver • Phase 2 — Target Jan. 1, 2023 − 1905(a)(7) State Plan Home Health Services − Home Health Services authorized under a waiver of the plan CMS (2017): Section 12006 of the 21 st Century CURES Act Session 1: Requirements, Implementation, Considerations, and State Survey Results [PowerPoint slides]. Retrieved from https://www.medicaid.gov/medicaid/hcbs/downloads/training/evv-presentation-part-1.pdf. ELECTRONIC VISIT VERIFICATION| FEBRUARY 2018 5

Potential Benefits of EVV • Improve program efficiencies by: − Eliminating the need for paper documents to verify services. − Facilitating the flexibility for appointments and services. • Strengthen quality assurance for PCS and HHCS by: − Improving health and welfare of individuals by validating delivery of services. CMS (2017): Section 12006 of the 21 st Century CURES Act Session 1: Requirements, Implementation, Considerations, and State Survey Results [PowerPoint slides]. Retrieved from https://www.medicaid.gov/medicaid/hcbs/downloads/training/evv-presentation-part-1.pdf. ELECTRONIC VISIT VERIFICATION| FEBRUARY 2018 6

Potential Benefits of EVV • Aims to reduce potential Fraud, Waste, and Abuse by: − Validating that services are billed appropriately according to the individual’s personalized care plan by ensuring appropriate payment is based on actual service delivery. − Being a part of the pre-payment validation methods that allows individuals and families to verify services rendered. CMS (2017): Section 12006 of the 21 st Century CURES Act Session 1: Requirements, Implementation, Considerations, and State Survey Results [PowerPoint slides]. Retrieved from https://www.medicaid.gov/medicaid/hcbs/downloads/training/evv-presentation-part-1.pdf. ELECTRONIC VISIT VERIFICATION| FEBRUARY 2018 7

EVV’s Impact on Beneficiaries • No significant disruption of services to beneficiaries. • Beneficiaries will be able to keep current providers and caregivers provided they comply with the EVV requirement. • An EVV system does NOT change the services provided, the provider selection, constrain the individual’s choice of caregiver, or impede the way care is delivered. • EVV will be a valuable tool in managing the accuracy and reporting of all services. ELECTRONIC VISIT VERIFICATION| FEBRUARY 2018 8

For Further Information For questions contact: MedicaidEVV@dhhs.nc.gov ELECTRONIC VISIT VERIFICATION| FEBRUARY 2018 9

Overview of the 21 st Century CURES Act The CURES Act is designed to - PowerPoint PPT Presentation

Section 12006 of the 21 st Century CURES Act: Electronic Visit Verification Systems Shannon Spence Personal Care Services Unit Manager February 26, 2018 Overview of the 21 st Century CURES Act The CURES Act is designed to improve the

How Electronic Visit Verification (EVV) 21 st Century Cures Act EVV Mandate will impact your

August, 2017 Overview This session is split into two parts. Part 1 21 st Century CURES

21 st Century Cures Act NIH-USDA-FDA Listening Session on Animal Research Patricia Brown, VMD,

21 st Century Cures Act NIH-USDA-FDA Listening Session on Animal Research Patricia Brown, VMD,

Verification Agenda 1. Background 2. 21 st Century Cures Act 3. Electronic Visit Verification

Section 12006 of the 21 st Century CURES Act Electronic Visit Verification Systems Session 2:

Section 12006 of the 21 st Century CURES Act Section 12006 of the 21 st Century CURES Act

Overview of 21 st Century Cures Act and Office of Policy Updates Elise Sweeney Anthony, Director

Disabled and Elderly Health Programs Group Center for Medicaid and CHIP Services December 2017

Section 12006 of the 21 st Century CURES Act Electronic Visit Verification Systems Session 1:

Electronic Visit Verification (EVV) MAAC May 24, 2018 Heather Hallman Special Advisor

Developmental Disability-Related Services September 19, 2018 1 Overview Background of the

VERIFICATION (EVV) 1 EVV EVV REQU REQUIREMENTS IREMENTS Section 12006 of the 21st Century

NCATS Cures Acceleration Network Review Board UPDATE JANUARY 14, 2016 Cures Acceleration Network

Why do you want to do CUREs? For you, your department, your college/school, your ins<tu<on?

st Century 21 st 21 ry Questions For r & From st Century 21 st 21 ry Cli lients Seattle

MACQUARIE AUSTRALIA CONFERENCE 2014 AUSTRALIA AND NEW ZEALAND BANKING GROUP LIMITED 8 May 2014

Slide 4: Shinsei Retail Business Vision The diagram in slide 4 depicts our retail business vision.

Orkney Renewable Energy Forum Orkney Energy Audit Commissioned by Project partners Funded by

ST. MARKS AME CHURCH CONGREGATIONAL EFFICIENCY PILOT MN POWER, COMFORT SYSTEMS, &

Develop opm ent al Disabilit ies Medicaid Waiver er S Ser ervices es Qualit y Assu ssurance

Washington State LTSS System, History and Vision Bea Rector, Director, Home and Community

Voluntary Foster Care Agency Leadership Forum May 14, 2015 10 am 1 pm 1 2 Objectives

Best Practices and Innovations in Medicaid Managed Long-Term Services and Supports (MLTSS): By:

Overview of the 21 st Century CURES Act The CURES Act is designed to - PowerPoint PPT Presentation

Section 12006 of the 21 st Century CURES Act: Electronic Visit Verification Systems Shannon Spence Personal Care Services Unit Manager February 26, 2018 Overview of the 21 st Century CURES Act The CURES Act is designed to improve the

How Electronic Visit Verification (EVV) 21 st Century Cures Act EVV Mandate will impact your

August, 2017 Overview This session is split into two parts. Part 1 21 st Century CURES

21 st Century Cures Act NIH-USDA-FDA Listening Session on Animal Research Patricia Brown, VMD,

21 st Century Cures Act NIH-USDA-FDA Listening Session on Animal Research Patricia Brown, VMD,

Verification Agenda 1. Background 2. 21 st Century Cures Act 3. Electronic Visit Verification

Section 12006 of the 21 st Century CURES Act Electronic Visit Verification Systems Session 2:

Section 12006 of the 21 st Century CURES Act Section 12006 of the 21 st Century CURES Act

Overview of 21 st Century Cures Act and Office of Policy Updates Elise Sweeney Anthony, Director

Disabled and Elderly Health Programs Group Center for Medicaid and CHIP Services December 2017

Section 12006 of the 21 st Century CURES Act Electronic Visit Verification Systems Session 1:

Electronic Visit Verification (EVV) MAAC May 24, 2018 Heather Hallman Special Advisor

Developmental Disability-Related Services September 19, 2018 1 Overview Background of the

VERIFICATION (EVV) 1 EVV EVV REQU REQUIREMENTS IREMENTS Section 12006 of the 21st Century

NCATS Cures Acceleration Network Review Board UPDATE JANUARY 14, 2016 Cures Acceleration Network

Why do you want to do CUREs? For you, your department, your college/school, your ins&lt;tu&lt;on?

st Century 21 st 21 ry Questions For r &amp; From st Century 21 st 21 ry Cli lients Seattle

MACQUARIE AUSTRALIA CONFERENCE 2014 AUSTRALIA AND NEW ZEALAND BANKING GROUP LIMITED 8 May 2014

Slide 4: Shinsei Retail Business Vision The diagram in slide 4 depicts our retail business vision.

Orkney Renewable Energy Forum Orkney Energy Audit Commissioned by Project partners Funded by

ST. MARKS AME CHURCH CONGREGATIONAL EFFICIENCY PILOT MN POWER, COMFORT SYSTEMS, &amp;

Develop opm ent al Disabilit ies Medicaid Waiver er S Ser ervices es Qualit y Assu ssurance

Washington State LTSS System, History and Vision Bea Rector, Director, Home and Community

Voluntary Foster Care Agency Leadership Forum May 14, 2015 10 am 1 pm 1 2 Objectives

Best Practices and Innovations in Medicaid Managed Long-Term Services and Supports (MLTSS): By:

Why do you want to do CUREs? For you, your department, your college/school, your ins<tu<on?

st Century 21 st 21 ry Questions For r & From st Century 21 st 21 ry Cli lients Seattle

ST. MARKS AME CHURCH CONGREGATIONAL EFFICIENCY PILOT MN POWER, COMFORT SYSTEMS, &