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Do I have to use EVV?
Yes, if you provide one of the services listed above, the 21st Century Cures Act requires that agencies verify delivery of all Personal Care and Home Health Services through an EVV system prior to reimbursement.
Do I have to use the Sandata EVV system?
No, the Department has chosen to develop a hybrid model EVV system. If a provider chooses to use their proprietary system, it must meet Federal guidelines and it must be capable of communicating with the Department’s EVV system through a data aggregator.
Will agencies need additional staff to manage EVV?
It will be up to the agency to decide whether additional staff is required. It is important that staff are fully trained and compliant with EVV. The Department is dedicated to a smooth transition to EVV with little disruption.
What kind of training will be available for providers?
The Department is working with stakeholders to identify best training practices. It is our goal to provide webinar trainings and in-person, regional trainings. These trainings will be recorded and made available to our stakeholders.
Will training be mandatory?
The Department is working with internal and external stakeholders to develop a policy to best serve Colorado members. The Department is assessing what training will be required for an effective implementation of EVV.
How will EVV impact billing?
The Department will establish a period during which claims will not be impacted by EVV. This will allow stakeholders and providers to become familiar with EVV without claims being impacted. During this period, the Department, in collaboration with stakeholders, will identify issues and develop solutions for the EVV system.
Will I be denied payment if services are not verified due to a problem with the EVV system?
The Department is working with stakeholders and the vendor to identify any problems that may arise with verifying services during a pilot stage prior to the official implementation date. By identifying these issues, the Department will be able to develop processes for ensuring verification and claims are being rightfully processed.
Will GPS be required as part of EVV?
The 21st Century Cures Act requires that location of services delivery is verified as part of EVV. The Department interprets the mandate to not require the use of GPS and expects that location may be verified through the attendant’s phone by a check-in via telephone call, phone application, or web portal. The Department is seeking guidance from the Centers for Medicare and Medicaid Services (CMS) to confirm what type of reporting will meet the location verification requirement and will keep stakeholders informed as new information becomes available.
What if my claim does not match EVV data?
Please keep in mind that the Department will establish a 6-month grace period during which providers will be required to use EVV without claims being impacted. After this period, if a claim is not properly verified through an EVV system, the claim will be denied.
What happens if the Member does not have access to wi-fi (rural area)? Will paper time sheets be accepted?
Verification of services is the responsibility of the provider. A provider may verify services through a cellular application, web portal, or telephonically. The cellular application can capture data of a visit and upload to the State’s EVV system once capable.