Electronic Visit Verification State Solution Provider Information

Welcome Providers Using the State Solution!

The 21st Century CURES Act, passed in December 2016, requires state Medicaid programs to implement an Electronic Visit Verification (EVV) system for Personal Care and Home Health services. Per section 12006, all states must implement an EVV system to avoid a reduction in federal Medicaid funding. EVV is an electronic-based system that verifies when provider visits occur and documents the precise time services begin and end, ensuring that members receive authorized services. To be in federal compliance, all EVV systems must collect the six points of data listed below.

  1. Type of service performed
  2. Individual receiving the service
  3. Date of the service
  4. Location of service delivery
  5. Individual providing the service
  6. Time the service begins and ends

In late summer 2020, the Department of Health Care Policy & Financing (the Department) will require Health First Colorado (Colorado's Medicaid Program) providers of EVV mandated home and community-based and state plan services to use EVV. Colorado is implementing EVV for federally required services and additional services that are similar in nature and service delivery. A list of services that require EVV in Colorado is listed below.

Participation in the EVV is mandatory for the following programs and services. Provider agencies not in compliance with EVV by late summer 2020, may experience a disruption in reimbursement.

Services Mandated for Colorado EVV Implementation*

Behavioral Therapies (provided in the home or community)
Consumer Directed Attendant Support Services (CDASS)
Durable Medical Equipment (requiring in-home setup)
Home Health: RN, LPN, CNA, PT, OT, SLP
Homemaker
Hospice
Independent Living Skills Training (ILST)
In-Home Support Services (IHSS)

Life Skills Training
Occupational Therapy (provided in the home)
Physical Therapy (provided in the home)
Pediatric Behavioral Health
Pediatric Personal Care
Personal Care
Private Duty Nursing
Respite (provided in the home or community)
Speech Therapy (provided in the home)
Youth Day

* Services subject to change
* Facility Based Per Diem Services, Managed Care, PACE, and other Capitated Services
* Please refer to the EVV Types of Service - Service Code Inclusions document for detailed billing/service code information

State Solution System – Sandata

Overview

  • Credential Access – eTrac: https://etraconline.net/login
  • Provider Portal Access: https://evv.sandata.com/VM/Login
  • Sandata Mobile Connect – SMC (Sandata EVV Caregiver App – iPhone)
    • *Please be sure to only download the application with this blue icon 
       
  • Sandata Mobile Connect – SMC (Sandata EVV Caregiver App – Android)
    • *Please be sure to only download the application with this blue icon 

 

State Solution Providers Readiness Guidelines

These steps are recommended to be prepared for the Colorado EVV Implementation:

  • Sign up for training
  • Communicate with employees about EVV technology and training requirements
  • Communicate with clients about EVV
  • Participate in the optional Soft Launch, after training is complete

 

Timeline for Electronic Visit Verification (EVV)

Register for
Training

Receive
Training Materials
Training
Starts
Soft Launch
Begins
Mandatory
Go Live

Providers Must Begin Using EVV Solution
Pre-Payment Claims Review
July 2019 August 2019 September 2019 October 2019 August 3, 2020 January 1, 2021

*Pre-payment claims review means claims that are submitted without a corresponding EVV are subject to denial
 

Training for the State Solution

Overview

  • Training is free and mandatory
  • Credentials for the State EVV System or Data Aggregator release within two days of training completion
  • Department's EVV vendor offering “Train-the-Trainer” model for agencies
  • Self-paced training is for providers using the State EVV Solution and providers using an alternate EVV system

Register for State Solution Provider Training - This training is intended for State Solution Providers ONLY and all registration information will be verified prior to the training.

2020 Training Announcement Communication - March 2020

EVV Agency Provider Participant Training Guide - September 2019

EVV Training Supplemental Materials Guide - September 2019

EVV Self-Paced Training Supplemental - December 2019


Questions about Training?

Contact:
Phone: (855) 871-8780 
Email: cocustomercare@sandata.com