Electronic Visit Verification (EVV) Claim Pend Process Implementation Reminder: October 1, 2020

Electronic Visit Verification (EVV) Claim Pend Process Implementation Reminder: October 1, 2020

Federal Deadlines

The federal deadlines to implement the Electronic Visit Verification (EVV) requirement are January 1, 2021 for Personal Care Services (PCS) and January 1, 2023 for Home Health providers delivering services under Section 40. CMS has not changed these federal deadlines due to the COVID-19 Public Health Emergency.

EVV Pend Process

The Department delayed its previously planned  implementation of EVV for PCS from July 1, 2020 to January 1, 2021 due to COVID-19. In order to ensure providers are on a path to successfully meet the federal January 1, 2021 deadline for PCS, MaineCare will implement the EVV pend process on October 1, 2020 for PCS claims. This will give providers a “soft launch” opportunity during which claims that do not meet the EVV requirements will first be subject to a claims pend, or delay in processing, instead of denying. This means claims with dates of service beginning on October 1, 2020 will be subject to an EVV claim edit. We previously communicated that we would give ten business days’ notice before implementing the pend process, but we hope that providing you with this ample advance notice helps you to mitigate potential delays in payment. Beginning October 1, 2020, claims subject to EVV requirements will pend for a three-day recycle period unless a matching EVV record is found. After the pend period, claims will then process to pay unless denied for other reasons.

We strongly encourage you to continue working toward implementation of the EVV requirements ahead of the impending October 1, 2020 PCS soft launch as well as the January 1, 2021 PCS deadline for full implementation.

Providers Using Alternate or 3^rd Party EVV Systems

If you are planning to utilize an Alternate or 3^rd Party EVV system, we encourage you to use the State EVV system until you’ve completed the Alternate EVV System Integration process.

To begin using the State EVV System, please follow the instructions in the EVV System Set-Up Options section of the EVV webpage. If you have not yet logged into the State EVV System, your account may require a password reset. Please contact Provider Services for assistance at 1-866-690-5585, option 3.

EVV Training and Forums

With EVV deadlines quickly approaching, we are offering provider and aggregator trainings and forums. All trainings and forums are online via Microsoft Teams.

Training Format and Topics

Training topics include, but are not be limited to:

• Accessing the Sandata EVV portal via the Health PAS Online Portal
• Performing EVV administrative functions such as creating and editing information for employees who will use the system
• Navigating through the Sandata EVV system
• Entering and editing visit records
• Recording visit data using other devices
• Accessing and reviewing reports 
• Avoiding EVV visit exceptions

Training Schedule

EVV Provider Training
Date of Training	Time of Training
September 17, 2020	9:00-12:00
October 1, 2020	9:00-12:00
October 8, 2020	1:00-4:00
Oct. 15, 2020	9:00-12:00
October 22, 2020	1:00-4:00
November 5, 2020	9:00-12:00
November 12, 2020	1:00-4:00
November 19, 2020	9:00-12:00
December 3, 2020	1:00-4:00
December 10, 2020	9:00-12:00
December 23, 2020	1:00-4:00
December 30, 2020	9:00-12:00

 

Aggregator Training
Date of Training	Time of Training
Sept. 24, 2020	9:00-10:00
Oct. 29, 2020	1:00-2:00
Nov. 23, 2020	9:00-10:00
Dec. 17, 2020	1:00-2:00

You can register for these courses through the Absorb Training Platform.

EVV Forum Format

The purpose of the forums is to answer technical questions regarding the State EVV system and Alternate EVV System Integration process.

Forum Schedule

If you are interested in implementing an Alternate EVV System, please invite your vendor partners to join the aggregator forums as well.

Forums - Provider
Date of Training	Time of Training
September 15, 2020	1:00-2:00
September 29, 2020	1:00-2:00
October 13, 2020	1:00-2:00
October 27, 2020	1:00-2:00
November 10, 2020	1:00-2:00
November 24, 2020	1:00-2:00
December 8, 2020	1:00-2:00
December 22, 2020	1:00-2:00

 

Forums - Aggregator
Date of Training	Time of Training
September 22, 2020	1:00-2:00
October 6, 2020	1:00-2:00
October 20, 2020	1:00-2:00
November 3, 2020	1:00-2:00
November 17, 2020	1:00-2:00
December 1, 2020	1:00-2:00
December 15, 2020	1:00-2:00

You can register for the forums through the Absorb Training Platform.

Forum Questions

Please prepare questions in advance. Once the forum has started, questions can be submitted for review through the Teams chat feature at any time. Instructions on how to submit questions will be reviewed during the beginning of the forum. If you wish to submit questions, please be sure to use your computer to access the Teams chat.

IMPORTANT: During the forum, please submit questions in the following format.

• NPI
• Contact Name
• Contact Phone Number/Email Address
• Question

This information will help State and DXC staff to follow up with answers to your questions. The team will work to answer as many questions as possible during the call, but, due to time constraints, some questions may need to be addressed after the forum. If we cannot answer your question during the call, we will record your contact information and question(s), and follow-up afterward.

Absorb Training Platform First Time Users

If you have not registered with Absorb, see the First Time User Guide for assistance. To access the guide, go to the Health PAS Online Portal and log into your Trading Partner Account (TPA). Next, click on the section called "Trading Partner User Training," and you will see the link to the First Time User Guide.

Questions?

See the EVV webpage for more details about EVV requirements.

Please contact Provider Services with questions:

• Email MaineCare's EVV email box
• Call Provider Services at 1-866-690-5585, option 3