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If providers have not already started implementing EVV, providers are at risk of being out of compliance on January 1, 2024.
All claims and encounters for HHCS are subjected to EVV requirements for dates of service on or after January 1, 2024 and must have a corresponding EVV visit, or claims payment will be impacted. Manual editing compliance rates will also go into effect on January 1, 2024. Please reference the recently released bulletin “Electronic Visit Verification Requirements for Home Health Care Services in the Fee-for-Services Delivery and Managed Care Delivery Systems Bulleting, number 05-22-09, 07-22-03, 54-22-01, 59-22-01, 00-22-06.”
The Department of Human Services (DHS) will continue to monitor EVV data. If any systemic issues occur, DHS will communicate the issue and resolution via the Listserv and the website as soon as they can. Support volume is expected to increase now through the end of January 2024. Please be aware that response times may be longer than normal during this time.
As a reminder, available resources are on the DHS EVV website. There is also an FAQ page, which may answer a majority of your questions as well.
EVV ERROR STATUS CODES
Error Status Codes (ESC) are actively setting for all claims with services subject to EVV that are submitted through PROMISe for fee-for-service programs. EVV ESCs are currently setting in a pay and list status, so while claims continue to pay, the ESC still sets to educate the provider. Providers should be actively reviewing these ESCs to determine if their claims and EVV data are matching appropriately. The EVV Error Status Codes (ESC) published on the DHS EVV website outlines the conditions when claims would deny beginning with dates of service January 1, 2024, and after.
Providers experiencing issues should reach out to the appropriate contacts, which are included below, based on the issues they are experiencing.
For technical issues, such as DHS Sandata account assistance, Welcome Kit reissuance, account unlock issues either for DHS Aggregator or DHS Sandata EVV, and/or issues with the DHS Aggregator accepting file submissions, please contact: Provider Assistance Center (PAC) or 800-248-2152.
For issues related to HHAeXchange and CHC billing, please contact HHAeXchange and/or the appropriate CHC-MCO.
For general EVV program issues or requests to be added to the EVV Listserv, please contact the EVV Resource Account.
For billing issues, such as why EVV ESCs are setting, what the EVV ESCs mean, and questions about what is in the Aggregator, please contact the following program office claims:
ODP Claims Resolution Section | 1-866-386-8880, Hours of operation: Monday – Friday, 8:30 am –12:00 pm and 1:00 pm – 3:30 pm |
OLTL Provider Call Center | 1-800-932-0939
Hours of operation: Monday – Thursday, 9:00 am – 12:00 pm and 1:00 pm – 4:00 pm |
OMAP Provider Inquiry Line | 1-800-537-8862, choose option 2, then
option 6, then option 1 Hours of operation: Monday-Friday, 8:00 – 12:00 pm and 12:30 pm – 4:30 pm |
AmeriHealth Caritas/Keystone First has released a newly-approved timesheet that is to be used for exceptions when electronic visit verification (EVV) cannot be used. This new form must be used effective Friday, December 1, 2023. While the use of this timesheet meets AHC/KF expectations for payments, it does not meet the requirements of the plan’s value-based purchasing (VBP) programs. RCPA aims to meet with the health plan to address a number of questions that are being raised by providers.
If you have any questions, contact Fady Sahhar.
On March 24, 2023, the Department of Human Services (DHS) conducted a public meeting on Electronic Visit Verification (EVV). The PowerPoint presentation from this public meeting is available. You can view the PowerPoint here.
This notice is a reminder that the Department of Human Services (DHS) is holding an Electronic Visit Verification (EVV) public meeting on Friday, March 24, 2023, from 1:00 pm – 2:30 pm. The meeting will be held virtually and will provide additional information and updates related to the DHS EVV implementation. Please register to attend here. After registering, you will receive a confirmation email containing information about joining the webinar.
UPMC Community HealthChoices (CHC) has released updated guidance for Personal Assistance Services (PAS) regarding record keeping and electronic visit verification (EVV) requirements. The guidance includes information about documentation and EVV requirements, as well as an extensive list of frequently asked questions (FAQs). View the full guidance and FAQ here.
The Department of Human Services (DHS) has announced a public meeting that will focus on Electronic Visit Verification (EVV). The meeting is scheduled for March 24, 2023, from 1:00 pm – 2:30 pm and will be held virtually. During this meeting, DHS will provide additional information and updates related to the DHS EVV implementation. Please register to attend this public meeting on the registration page. After registering, you will receive a confirmation email containing information about joining the webinar.
If you have a question that you would like to have read and answered during the meeting, please submit it electronically before March 15, 2023.
The Office of Long-Term Living (OLTL) has issued the following announcement for providers that are working on enrollment applications for services impacted by Electronic Visit Verification (EVV):
Beginning December 16, 2022, certain Provider Type and Specialty Combinations will see a new question concerning EVV on the “Additional Information” web page when completing a provider enrollment application. This information will also be displayed on the Provider Enrollment Summary.
For additional information regarding this enrollment change, please see Quick Tip #264.