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Written by: John Wolf on Thursday, March 23, 2017 Posted in:

Protect your state against reduced FMAP
with Electronic Visit Verification

Electronic Visit VerificationOne of the final acts passed as part of the Affordable Care Act is the “21st Century Cures Act.” Often referred to simply as the CURES Act, it expands medical research and speeds approval of new drugs and medical devices. One important component of the Act is the emphasis on Electronic Visit Verification (EVV).

Your agency could face reduced payment if you don’t have EVV in place

Section 12006 of the Act imposes a reduction in the FMAP for states that do not implement an EVV solution for personal care or home health care services that require an in-home visit and are paid for using state-plan Medicaid funds or Medicaid waiver funds.

  • Personal Care Services must start using EVV by 1/1/2019
  • Home Health Care Services must start using EVV by 1/1/2023

RELATED: Mediware’s
Harmony for Waivers

See why so many states rely on Mediware to streamline waiver management.

Even worse, the penalty increases over time. THE GOOD NEWS — the Act empowers the feds to reimburse your state for up to 90% of implementation costs and 75% of operation/maintenance costs.  As new policies take shape in Washington, now is the time to act on this important incentive.

How to research EVV

You can learn more about EVV by talking to a Mediware Human Services Consultant about the new EVV mobile app that will be available soon as part of the Harmony for Waivers solution. It works for Medicaid claims, claims paid for by grants or the state, or any combination of these funds.

A convenient List View shows you all consumers who need visits, and you can assign up to 5 delivery workers (primary, backup, and up to 3 alternates) to each consumer.

Service deliveries are recorded and uploaded to your main system, where you can review deliveries and, where appropriate, justify violations (e.g., service was delivered outside of allowable geofence). You then submit approved deliveries for payment with a few mouse clicks, which are automatically coded to meet standard and Agency-specific rules. When appropriate, claims are also routed to external payer systems for further review and/or payment (e.g., MMIS systems).

Start your EVV search today

Whether you are a current Mediware customer or perhaps your state is reviewing other alternatives, now is the time to start a conversation where you can learn all the implications of Section 12006.

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