EVV affects all personal care and home health services paid for by Medicaid. This include services authorized through Medicaid and BadgerCare Plus fee-for-service, health maintenance organizations (HMOs), long-term care managed care organizations (MCOs), and IRIS (Include, Respect, I Self-Direct). EVV visit data will need to be collected for care provided under the following service codes:
|Service||Medicaid and BadgerCare Plus fee-for-service, BadgerCare Plus and Medicaid SSI HMOs||Family Care, Family Care Partnership||IRIS|
|T1019: Personal Care Services per 15 minutes||Yes||Yes||Yes|
|T1020: Personal Care Services per day||n/a||Yes||n/a|
|S5125: Supportive Home Care per 15 minutes||n/a||Yes||Starts January 2021 after waiver renewal; currently S5130.|
|S5126: Supportive Home Care per day||n/a||Yes||Starts January 2021 after waiver renewal; currently S5131.|
EVV visit data
EVV verifies authorized Medicaid-funded personal care and supportive home services were provided by collecting the following information:
- Who receives the service
- Who provides the service
- What service is provided
- Where service is provided
- Date of service
- Time in and out
Technology to collect EVV data
Workers may use a mobile phone, tablet, landline phone, or in certain situations, a small digital device provided by the Wisconsin Department of Health Services (DHS) to capture visit data. Services, such as cellular, internet, and Wi-Fi, are not required to capture visit data. Traditional methods of logging information, such as paper records of care, may continue but do not fulfill EVV requirements.
Wisconsin's EVV solution
DHS selected an EVV system for use within all DHS programs and impacted provider agencies, HMOs, MCOs, Family Care fiscal employer agents (FEAs), and IRIS FEAs. This eliminates the need for individual organizations to purchase an EVV solution. Organizations interested in using an alternate EVV system may use it as long as it meets DHS business and technical requirements.
DHS EVV training
DHS will provide free train-the-trainer sessions and resources on the DHS EVV system to the provider agency administrators across all delivery systems. Administrators from Family Care FEAs, IRIS FEAs, and IRIS consultant agencies (ICAs) will also need this training.
DHS recognizes our responsibility to minimize the impact of this federal regulation on your important work. We want to hear your concerns and will strive to incorporate your recommendations. Our goals are to:
- Maintain services provided, including community integration.
- Support provider selection.
- Keep an individual’s choice of a worker.
- Ensure services are provided.
- Ensure data is secure and compliant with the Health Insurance Portability and Accountability Act (HIPAA).