If providers have not already started implementing Electronic Visit Verification (EVV), providers are at risk at being out of compliance on January 1, 2021.
All claims and encounters for personal care services (PCS) subject to EVV requirements for dates of service on or after January 1, 2021 must have a corresponding EVV visit or claims payment will be impacted. Manual editing compliance rates will also go into effect on January 1, 2021. Please reference the recently released Electronic Visit Verification (EVV) for Personal Care Services bulletin and Electronic Visit Verification for Personal Care Services Provided in the Fee-for-Service Delivery System bulletin for additional details.
Alternate/Third Party EVV Systems
Fee-For-Service providers using an Alternate EVV system who have not already reached out to begin the Aggregator Certification process must contact Sandata Alternate EVV support team by phone at 855-705-2407 or by email as soon as possible to begin this process. Providers must receive their production credentials and confirm their EVV data is viewable in the Aggregator Portal to complete the certification process.
Community HealthChoices (CHC) Providers
All CHC providers must be actively working with the CHC-Managed Care Organizations (MCOs) to ensure they are in compliance with all EVV requirements. If your agency has not already started collecting EVV data and sending the appropriate data to each contracted MCO, please reach out to the MCOs as soon as possible to begin this process.
Providers Electing to use the Department of Human Services (DHS) Sandata EVV System
Providers electing to use the DHS Sandata EVV system must complete Sandata’s “Pennsylvania DHS – Electronic Visit Verification (EVV) Self-Paced Training for Agency Providers” training in order to receive credentials to use the system for OBRA, Act 150, and Offices of Developmental Programs and Medical Assistance Programs fee-for-service participants. Please begin this process as soon as possible by completing the sign-up form.
Upon completing the self-paced training, providers will be issued a Welcome Kit, including their agency’s production credentials. Providers must setup their agency and direct care workers in the EVV Provider Portal and train the rest of their staff on how to use the system, including the Sandata Mobile Connect™ application and telephonic visit verification (TVV) visit capture modalities to their direct care workers.
If you have any questions, please email them here.