First Call Wireless offers complete bundled solutions for EVV systems, which universally require three components:
EVV Software: We configure and install the relevant software application(s) required for compliance, offering guidance should multiple options be available.
Hardware: We propose a list of handset and tablet options to fit your budget, including MDM services that ensure the hardware is appropriately utilized. We also offer post-deployment MDM help desk support.
Connectivity: Through our partnership with T-Mobile, you have access to best-in-class devices and wireless plans to suit your EVV needs.
Customers can opt into some or all of these services to enable turnkey EVV solutions that are cost effective, easily managed, and deployed in compliance with state standards. First Call Wireless builds a unique Statement of Work for each customer opportunity based on the complexity of their MDM profile and deployment scenario.
What is EVV?
Electronic Visit Verification (EVV) is a mandate introduced in the Cures Act. Signed into law on December 13, 2016, it sets requirements for both home health and personal care services.
Providers now need to digitally document services performed by caregivers in order to qualify for Medicaid assistance.
How does EVV work?
Compliance and regulation standards for implementation are set by individual state governments.
Each state is therefore tasked with developing an EVV system capable of electronically verifying interactions between patients and providers with respect to:
(i) the type of service performed;
(ii) the individual receiving the service;
(iii) the date of the service;
(iv) the location of service delivery;
(v) the individual providing the service; and
(vi) the time the service begins and ends.
All Medicaid-funded personal care services (PCS) must be EVV compliant by January 1, 2020, and home health care services (HHCS) by January 1, 2023.
Why require EVV?
A successfully implemented EVV system will go beyond simply ensuring Medicaid-funded services are being met with a standard of care.
In addition to reducing negligence, it provides a digital platform through which providers can offer modern solutions that stand to benefit patients and caregivers alike.
Who is involved with EVV?
State Medicaid Offices manage healthcare programs for eligible low-income adults, children, pregnant women, elderly adults, and people with disabilities. Medicaid-provided assistance is funded jointly by state and federal budgets, with requirements being set by federal legislation.
Managed Care Organizations (MCOs) contract with insurance companies or self-ensured employers to establish networks that deliver healthcare products and services. Examples include Health Maintenance Organizations (HMOs), Preferred Provider Organizations (PPOs), and Exclusive Provider Organizations (EPOs).
PCS/HHCS Providers fulfill personal care and home health services. They participate within MCO networks and directly engage with the patients receiving Medicaid-provided assistance.
Personal Care Services (PCS) are performed by a Certified Nurse Assistant (CNA) or a Personal Care Assistant (PCA) to support everyday basic tasks – like cleaning, cooking, bathing or grooming – it does not include medical care.
Home Health Care Services (HHCS) are provided to patients who require medical treatment in addition to personal care. They are usually fulfilled by registered nurses or other health care administrators.
EVV Aggregators will be designated by some States to support EVV vendor neutrality. As different platforms and solutions are implemented, aggregators enable EVV data to be collected in a centralized environment. This consolidation is required for program oversite in States accepting multiple EVV systems.
When will EVV standards be set in my state?
States are in varying stages of development for their EVV programs. This process will define the number of options available to providers when selecting vendors. Most EVV systems fit into the following models:
State Choice: The state Medicaid program establishes contracts with their designated EVV vendor(s), requiring all providers use the selected EVV system. States would directly oversee these programs. This is considered a closed model.
MCO Choice: States allow for MCOs to determine which EVV vendors they accept. This is most common in states where Medicaid operations have been privatized and is also considered a closed model.
Provider Choice: Home care agencies are able to directly select their own vendor partnerships. This is considered an open model.
Open Vendor: States select their designated vendor(s) but they are not mandatory. Instead, MCOs and home care agencies can select their own EVV systems if necessary. This can be considered a hybrid open model.