NOTE: This bulletin has been replaced by NC Medicaid Electronic Visit Verification Revised Implementation Dates to Align with Transition of 1915(b) benefits to 1915(i) Authority published on Jan. 24, 2023.
The 21st Century Cures Act requires NC Medicaid to begin using an Electronic Visit Verification (EVV) system for Home Health Care Services (HHCS) by Jan. 1, 2023. EVV uses technology to record the times, dates and specific services that are given, which helps to ensure that people who should receive services, in fact, receive them.
The Centers for Medicare & Medicaid Services (CMS) permitted states that anticipated being unable to meet the implementation deadline to submit a request for a Good Faith Effort Exemption (GFEE). A GFEE approval allows states to implement EVV for HHCS after the required deadline of Jan. 1, 2023, without CMS applying a Federal Medical Assistance Percentage legislated penalty. NC Medicaid submitted a GFEE request to CMS and was granted approval.
Timelines for implementation of EVV are noted below for each health plan.
|
Plan |
Impacted systems |
Trading Partner testing |
Soft launch start |
Hard launch start |
|
NC Medicaid Direct (HHCS) |
NCTracks + Providers |
|
4/1/2023 |
7/1/2023 |
|
Standard Plans (HHCS) |
EPS + PHPs + HHAExchange / CareBridge / Healthy Blue |
11/15/2022 |
4/1/2023 |
7/1/2023 |
|
Tailored Plans (HHCS) |
EPS + TPs + HHAExchange |
5/1/2023 |
7/1/2023 |
10/1/2023 |
|
Tailored Plans (PCS) |
EPS + TPs + HHAExchange |
2/1/2023 |
4/1/23 |
7/1/23 |
|
PIHP (1915 (i)) |
EPS + PIHPs + HHAExchange |
2/1/2023 |
4/1/23 |
7/1/23 |