Clarification regarding Electronic Visit Verification (EVV) and how it applies to in-home caregivers, including service codes for EVV and frequently asked questions on this topic.
Topics Related to Community Alternatives Program (CAP/C & CAP/DA) Providers
Providers subject to EVV are required to utilize an electronic verification system to capture in-home visits to align with the state and federal guidelines. The enrollment or selection of an EVV vendor must be made by Dec. 18, 2020, to ensure NC Medicaid meets the Jan. 1, 2021 deadline for implementation.
NC Medicaid’s Electronic Visit Verification (EVV) system will launch on Jan. 1, 2021, for State Plan Personal Care Services, CAP/DA and CAP/C. During the first 90 days following launch, we will operate EVV as “Pay and Report.” EVV implementation for TBI waiver and LME-MCO services programs is planned for April 2, 2021.
NC Medicaid State Plan Personal Care Services (PCS) and Community Alternatives Programs (CAP) providers who render personal care-type services, are required to complete a secure survey regarding Electronic Visit Verification (EVV) by Dec. 7, 2020.
Effective Jan. 1, 2021, Personal Care Services and Community Alternatives Programs providers subject to Electronic Visit Verification will no longer be able to submit claims using span dating.
This Bulletin replaces SPECIAL BULLETIN COVID-19 #22 in its entirety. NC Medicaid has updated its emergency planning document called an Appendix K to expand its flexibilities on how Medicaid providers and beneficiaries may access and receive home- and community-based services (HCBS) through the CAP waivers in the wake of COVID-19, previously referenced in SPECIAL BULLETIN COVID-19 #22. Updates to the previous Bulletin are noted.
This Bulletin replaces SPECIAL BULLETIN COVID-19 #22 in its entirety. NC Medicaid has updated its emergency planning document called an Appendix K to expand its flexibilities on how Medicaid providers and beneficiaries may access and receive home- and community-based services (HCBS) through the CAP waivers in the wake of COVID-19, previously referenced in SPECIAL BULLETIN COVID-19 #22.
NC DHHS awarded a contract to Sandata Technologies, LLC on Sept. 24, 2020, and will implement services for Electronic Visit Verification (EVV) statewide on Jan. 1, 2021. EVV is a method used to verify visit activity for services delivered as part of home- and community-based service programs. EVV offers a measure of accountability to help ensure that individuals who are authorized to receive services in fact receive them.
To ensure the waiver enrollment administrative processes are executed as approved in each waiver application, until the award of a contract to an external CIAE vendor, NC Medicaid will implement an internal independent assessment review process. This internal independent assessment process will begin in October 2020 with a go-live date of Oct. 19, 2020.
To begin the preparation for the renewing of the CAP/C waiver, NC Medicaid is soliciting comments, recommendations, and suggestions in the areas of access, flexibilities of home and community-based services, and operational efficiencies. An open public comment period begins Sept. 22, 2020.