Electronic Visit Verification Requirement
The Wisconsin Department of Health Services (DHS) announced that our current Medicaid Management Information System (MMIS) fiscal agent, DXC Technology, has selected Sandata Technologies as the electronic visit verification (EVV) vendor. Additionally, DHS is considering the use of Sandata’s aggregator technology. To learn more, read the announcement email.
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In response to the federal 21st Century Cures Act, the Wisconsin Department of Health Services (DHS) is required to implement electronic visit verification (EVV) for Medicaid-covered personal care services and home health services.
Who does this requirement affect?
This requirement affects all personal care and home health services, including services provided through Wisconsin Medicaid and BadgerCare Plus fee-for-service, BadgerCare Plus HMOs, Medicaid SSI HMOs, Family Care, Family Care Partnership, IRIS (Include, Respect, I Self-Direct), and Katie Beckett.
What is EVV?
EVV is an electronic system that uses technologies to verify that authorized services were provided. Home care workers will be required to send information at the beginning and end of each visit to an EVV system, including:
Date of services
Time of services
Location of services
Individual providing services
Individual receiving services
Bookmark this page! It will be updated as information becomes available. Providers and other interested stakeholders are encouraged to check this page often.
EVV Forum Held November 27, 2018
An EVV forum for members, participants, caregivers, and associations occurred on November 27, 2018, in Steven’s Point and was live streamed. The purpose of the event was to share information about the federally-mandated EVV requirements and receive feedback from people who receive or provide personal care services. Questions and comments are still being accepted via the EVV mailbox.
November 1, 2018:
- An EVV forum for members, participants, caregivers, and associations was held on November 27, 2018 in Stevens Point and online.
October 5, 2018:
- The Department of Health Services (DHS) has decided to contract through our current Medicaid Management Information System (MMIS) fiscal agent for electronic visit verification (EVV) services in order to optimize integration into the current MMIS. The MMIS fiscal agent has not yet selected a vendor. Additional information regarding EVV services and implementation will be announced on this webpage, as it is available.
September 27, 2018:
- The timeline was delayed on July 30, 2018, when legislation was passed to amend Section 1903(l) of the Social Security Act to delay the timeline for states to implement EVV for personal care services by one year. States that have not implemented EVV by January 1, 2020, will be subject to a reduction in federal match funds unless they have made both a “good faith effort” to comply and have encountered “unavoidable system delays.” For more information about the delay, visit www.congress.gov.
DHS vendor Sandata will provide an EVV system to be used by DHS' programs and impacted providers, HMOs, managed care organizations, and program administrators. DHS is considering the use of Sandata’s aggregator technology. If used, this technology would allow providers who already have an EVV system to continue to use it if it meets EVV requirements.
DHS plans to implement the new EVV requirement over a span of multiple years based on the federal 21st Century Cures Act requirements.
The federal 21st Century Cures Act requires EVV to be implemented for personal care services by January 1, 2020. DHS will continue to work with providers, partners, and the federal Centers for Medicare and Medicaid Services (CMS) to develop an appropriate and realistic timeline for EVV implementation. DHS will share updated information regarding the expected timeline when available. Providers do not need to do anything or purchase anything to be in compliance with the EVV requirement at this time.
The federal 21st Century Cures Act requires EVV to be implemented for home health services by January 1, 2023.
DHS would like to hear from stakeholders regarding the implementation of EVV. The input from stakeholders is essential to the planning process for this new requirement and will be used by DHS to make decisions in implementation planning and assist in determining the best way to be compliant with the federal requirement.
Providers, partners, and other stakeholders can contact the DHS by emailing firstname.lastname@example.org. Submissions to this email address will be used to develop an FAQ document.