The Ohio Department of Medicaid will begin using an Electronic Visit Verification (EVV) system for many home and community-based services in January 2018. EVV is an electronic system that verifies when provider visits occur and documents the precise time services begin and end. It ensures that individuals receive their medically necessary services.
Services to be included in the EVV are State Plan Home Health Aide, State Plan Home Health Nursing, Private Duty Nursing (PDN), Ohio Home Care Waiver Nursing, Ohio Home Care Waiver Personal Care Aide, Home Care Attendant, and RN Assessment.
ODM has contracted with Sandata Technologies LLC to deliver Ohio’s EVV system, as well as to provide program orientation and training to providers.
What does EVV mean for agency and non-agency providers?
- There is no cost to providers who use Sandata’s EVV system or to the individual.
- EVV will capture and log visit data (start and end of visit, Global Positioning System (GPS) coordinates, etc.) electronically.
- The claims submission process will not change but additional information may be required on the claim and new edits related to EVV will be applied.
- ODM encourages all providers to use Sandata’s EVV system but it is open to providers using their own EVV systems. However, alternate EVV systems must meet the ODM interface requirements. All alternate EVV systems must collect visit data, have GPS, and send visit information to Sandata in near-real time. In the future, ODM will phase Managed Care Plans into the EVV system as well.
- ODM will post all information pertaining to the phase-in of the EVV system on this webpage. Please visit it often.