Electronic Visit Verification System for Home Health Care Services Soft Launch Extended Through Sept. 30, 2023

All Home Health Care providers are expected to be fully compliant with requirements on Oct. 1, 2023.

The 21st Century Cures Act requires NC Medicaid to begin using an Electronic Visit Verification (EVV) system for home health care services (HHCS). EVV uses technology to record the times, dates and specific services that are given, which helps ensure people who should receive services, receive them.

The soft launch pay and report period for the implementation of EVV for HHCS for both NC Medicaid Direct and Standard Plans began April 1, 2023. NC Medicaid has closely monitored provider adoption and readiness for the hard launch. Since provider adoption has been low and to give providers additional time to prepare for hard launch, the soft launch has been extended through Sept 30, 2023. During the extended soft launch timeframe:

  • HHCS providers are expected to submit EVV information
  • The EVV program will operate as “Pay and Report”
  • Claims will not pend based on failed validation. If a claim fails validation, a report will be generated noting the validation issue and the provider will be allowed to receive payment.

Hard launch will begin Oct. 1, 2023. On this date:

  • All HHCS providers are expected to be fully compliant with EVV requirements
  • EVV data must be validated prior to claims adjudication
  • Claims without the required EVV criteria will deny

HHCS providers with beneficiaries in NC Medicaid Direct needing additional assistance with EVV for HHCS should contact Sandata at:

HHCS providers with beneficiaries in a Standard Plan who need additional assistance with EVV for HHCS should contact either HHAeXchange or CareBridge as applicable at:

Home health providers who still need to select and connect with an EVV vendor to be compliant with the regulations should contact their selected vendor ASAP. Escalations requests for connection issues can be sent to the EVV email address below. Please include the name of your selected vendor and the help ticket number in these emails.

Contact

Medicaid.evv@dhhs.nc.gov 

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