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evv

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ODP Announcement 22-098 is intended to provide additional clarification on combining partial units as it pertains to Personal Care and Home Health Care Services that are subject to electronic visit verification (EVV), i.e. Respite — unlicensed, Homemaker, Companion, In-Home and Community Supports and Community Supports, Nursing, Occupational Therapy, Physical Therapy, Speech/Language Therapy, and Therapies — Counseling.

All Personal Care and Home Health Care services subject to EVV are permitted to bill units that are based on the total accumulated continuous or non-continuous service time across an individual calendar day or across multiple calendar days. The beginning and end date submitted on a claim detail line informs the system what date range it should look in for time in the EVV Aggregator for the same provider, individual, and service. Once all continuous or non-continuous service time in the aggregator is located, the system will total all the time found and use the total time to calculate units. The total calculated units in the EVV aggregator are then compared to the units submitted on the claim.

As long as the total calculated units found in the EVV aggregator is equal to or greater than the units submitted on the claim detail line, the claim will pass EVV validation and continue moving through the claims adjudication process, where it is subject to plan validation and additional Medical Assistance and ODP specific edits and audits in the Medicaid Management Information System (PROMISe).

Please note that the ODP EVV Technical Guide Version 2.0 is being updated to reflect this clarification about combining partial units for services subject to EVV.

For additional information about EVV, please view the DHS EVV website. Providers with additional questions regarding this matter should contact their respective ODP Regional Office.

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The Office of Long-Term Living (OLTL) continues to remind participants of the in-person drop-in sessions for those that are in Community HealthChoices (CHC) participant-directed services due to Tempus taking over as the fiscal/employer agent for these services. These sessions are scheduled to assist with the completion of the Common Law Employer (CLE) and Direct Care Worker (DCW) packets and provide training on how to use the Electronic Visit Verification (EVV) system. Appointments do not need to be scheduled, and the entire process will take one hour. Session dates and locations are provided below.

Wednesday, May 25
Allentown
Renaissance Allentown
12 North 7th Street
Allentown, PA 18101
10:00 am – 7:00 pm

Thursday, May 26
Philadelphia
Liacouras Center at Temple University
1776 North Broad Street
Philadelphia, PA 19121
10:00 am – 7:00 pm

Tuesday, May 31
Erie
Bayfront Convention Center
1 Sassafras Pier, Room 103 A/B
Erie, PA 16507
10:00 am – 7:00 pm

Wednesday, June 1
Pittsburgh
UPMC Harbor Gardens
1650 Metropolitan Street
Pittsburgh, PA 15233
10:00 am – 7:00 pm

Thursday, June 2
Altoona
Altoona Public Library
1600 5th Ave.
Altoona, PA 16602
10:00 am – 7:00 pm

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Beginning on May 10, 2022, and continuing throughout the month into early June, Tempus and the Community HealthChoices (CHC) Managed Care Organizations (MCOs) will be holding in-person drop-in sessions across the state to assist participants in completing Common Law Employer (CLE) and Direct Care Worker (DCW) packets. They will also be providing training on how to use the Electronic Visit Verification (EVV) system. Tempus will be taking over as the Fiscal/Employer Agent Services for CHC Participant-Directed Services; therefore, participants and DCWs must complete transition packets and attend EVV training. The chart below provides the dates, times, and locations of these drop-in sessions. Attendees do not need to set up an appointment to attend, and the sessions should take approximately one hour. Staff from Tempus and the CHC MCOs will be at each session to answer questions.

Date Location Address Time
Tuesday, May 10    York  

Hampton Inn
1550 Mt. Zion Rd.
York, PA 17402

 

 10:00 am – 7:00 pm
Thursday, May 12 Harrisburg  

TEF Office
1500 N. 2nd Street
Harrisburg, PA 17102

 

 10:00 am – 7:00 pm
Monday, May 16 Williamsport  

Genetti Hotel
200 West Fourth Street
Williamsport, PA 17701

 

 10:00 am – 7:00 pm
Wednesday, May 18 Philadelphia  

Deliverance Church
2001 W. Lehigh Ave.
Philadelphia, PA 19132

 

 10:00 am – 7:00 pm
 

Tuesday, May 24                                  

Reading  

DoubleTree by Hilton
701 Penn Street
Reading, PA 19601

 

 10:00 am – 7:00 pm
Wednesday, May 25 Allentown  

Renaissance Allentown
12 North 7th Street
Allentown, PA 18101

 

 10:00 am – 7:00 pm
Wednesday, June 1 Pittsburgh  

UPMC Harbor Gardens
1650 Metropolitan Street
Pittsburgh, PA 15233

 

 10:00 am – 7:00 pm
Thursday, June 2 Altoona  

Altoona Public Library
1600 5th Ave.
Altoona, PA 16602

 10:00 am – 7:00 pm

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A message from the Department of Human Services (DHS):

Attention Personal Care Services (PCS) and Home Health Care Services (HHCS) Providers:

DHS would like to announce that the Alternate EVV Technical Specifications and updated Sandata Alternate EVV Error Handling Overview and Reference Guide are available online for your review prior to the upcoming Alternate EVV Town Hall on April 11, 2022, at 1:00 pm ET (visit here to register). There will be a second session held May 27, 2022, at 12:00 pm ET for any additional questions that may arise.

All Alternate EVV vendors will need to be certified following the new Alternate EVV Technical Specifications published March 30, 2022. Vendors are expected to review the technical specifications document in its entirety and submit any questions during your registration to the Alternate EVV Town Hall.

If a vendor is not certified (due to being new to EVV) or recertified, the EVV visits will not be accepted for any provider agency the vendor supports. For PCS, the claims or encounters will deny because visit data would not be accepted as a result of the vendor not being recertified. 

DHS recommends providers work with their EVV vendor to complete system updates to allow for sufficient time to complete integration testing and the recertification process prior to the Sandata EVV Release. The deployment date is currently expected to be on June 15, 2022. Any changes to this date will be communicated in a future Listserv. The initial certification process can be lengthy, and vendors should prepare accordingly. The minimum recommended time is 7.5 business weeks.

Further contact information for recertification will be provided at the Alternate EVV Town Hall on April 11, 2022.

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The Electronic Visit Verification (EVV) public meeting originally scheduled for Friday, March 18, 2022, has been rescheduled to Friday, April 8, 2022, from 1:00 pm–2:00 pm. Topics include updates related to DHS’s implementation of EVV.

Please register using this registration link. After registering, you will receive a confirmation email containing information about joining the webinar.

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Message from the Office of Long-Term Living: 

As a reminder, the January EVV Public Meeting will be occurring on January 21, 2022, at 1:00 pm.  Topics to be covered include EVV system updates, a Home Health Care Services implementation update, general reminders, and a Personal Care Services data update, as well as others.

Please register for the January 21, 2022 EVV Public Meeting. Questions on this topic can be directed via email.

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