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
Per 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.
The IHCP EVV Solution
The IHCP will use the Sandata system as the State-sponsored solution 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 solution other than Sandata; however, providers will still be required to export data from their selected system to Sandata’s “Aggregator” for integration with CoreMMIS. This requirement will be necessary for documentation, billing, and reimbursement purposes. Sandata’s Aggregator will capture data from Sandata EVV users and from other EVV solutions; providers using other solutions must work with Sandata to create an export interface with the Sandata Aggregator. The current list of vendors that have already integrated with Sandata is as follows:
- Alora Health
- Ampersand International, Inc.
- MaximCare Mobile
- Salo Solutions
IHCP Required EVV Services
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 on the Codes Sets page of this website.
Questions and Concerns
For clear and concise answers to common provider questions regarding EVV, see the Electronic Visit Verification FAQs document. General questions or concerns about the EVV Program can be sent via email to EVV@fssa.in.gov.