The recently passed 21st Century Cures Act directs state Medicaid programs to require providers of personal care services and home health services to use an electronic visit verification (EVV) system to document services rendered. Federal law requires that providers use the EVV system to document the following information:
- Date of service
- Location of service
- Individual providing service
- Type of service
- Individual receiving service
- Time the service begins and ends
In accordance with federal requirements, the Indiana Health Coverage Programs (IHCP) will implement use of an EVV system to document personal care services by January 1, 2020. Use of an EVV system to document home health services will be implemented by January 1, 2023. See the Indiana EVV Project Overview for a timeline of milestone events for the State’s EVV solution.
Request to Complete EVV Pilot Survey
Personal care service providers that will be affected by the EVV requirement are encouraged to complete this short survey by May 7, 2019.
Request to Update Contact Information:
Providers that will be affected by the EVV requirement must ensure that their contact information (telephone numbers and email addresses) is up to date. See the Quick Reference Guide for Provider Healthcare Portal: Updating Contact Information for instructions on updating contact information via the IHCP Provider Healthcare Portal. Updates can also be made by mail, using the IHCP Provider Name and Address Maintenance Form available on the Update Your Provider Profile page of this site. Providers should make updates as soon as possible to receive vital information on the EVV process.
The IHCP EVV Solution
The IHCP will use Sandata as the State-sponsored system for implementing federal EVV requirements. In partnership with DXC Technology, the CoreMMIS system will be configured to integrate with the Sandata EVV system.
Providers may choose to use an EVV system other than Sandata; however, these providers will be required to export data from their alternate system to the Sandata "Aggregator" for integration with CoreMMIS. The Aggregator will capture EVV data from both Sandata users and from users of alternate EVV systems.
For documentation, billing, and reimbursement of applicable services, all providers will be required to submit EVV data to the Aggregator (either through the Sandata system or via export from an alternate system) by January 1, 2020.
Alternate EVV System Specifications
Providers that choose to use an alternate EVV system (instead of the State-sponsored Sandata system) will need to work with their vendors to develop a daily file extract to integrate with the Aggregator, using the following specifications:
Providers using an alternate EVV vendor will need to start the process for having their system interface with the Aggregator by sending an email to EVV@fssa.in.gov with the following subject line and details:
- Subject: Request for EVV Vendor Certification [Vendor Name]
- Provider name
- Provider contact name and email address
- Vendor name
- Vendor contact name and email address
After a vendor is identified, the Sandata team will begin working with that vendor to perform testing of their extract.
The IHCP will be delivering training on the Sandata EVV system in a variety of formats, including classroom-based sessions and instructor-led webinars. For providers using an alternate EVV system, self-paced training on the Aggregator will also be available. Watch the Electronic Visit Verification Training page for information about upcoming training events, recordings of prior trainings, and links to training documents.
Services Requiring EVV
The IHCP has developed a list of personal care services that will require EVV documentation and verification. A list of home health services will be added at a future date. See Service Codes That Require Electronic Visit Verification, accessible from the Codes Sets page of this website.
Questions and Concerns
For clear and concise answers to common provider questions regarding EVV, see Electronic Visit Verification FAQs.
General questions or concerns about the EVV program can be sent via email to EVV@fssa.in.gov.
The following IHCP bulletins contain relevant EVV information:
- BT201925 – IHCP provides electronic visit verification (EVV) updates and project timeline
- BT201910 – IHCP providers alternate EVV solution details
- BT201855 – IHCP announces EVV solution for personal care and home health services
- BT201820 – Federal law requires use of EVV system for personal care and home health services