Electronic Visit Verification (EVV): Weekly Billers of Personal Care Services and EVV Training and Forms

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Electronic Visit Verification (EVV): Weekly Billers of Personal Care Services (PCS) Reminder

In preparation for EVV editing, providers should ensure billing software is configured to have individual dates for services on separate lines when claims are submitted so that they match up with the EVV verified records.

If you currently use billing software or a billing agency, please verify that your systems will allow individual dates of service on separate lines of the claim when they are uploaded as a batch into the Health PAS Online Portal.

Providers who “span” bill should only do so when the services are consecutive. For example, you should only bill from December 1, 2020 – December 7, 2020 when services are provided on each day of the week. If members are receiving services on non-consecutive dates such as Monday, Wednesday, and Friday, you should not span bill; otherwise, your claims will warn, then deny starting January 1, 2021, for no verified EVV record found on Saturday, Sunday, Tuesday, or Thursday. You should submit a separate claim line for each date of service when the dates of service are not consecutive.

The National Uniform Claim Committee (NUCC) has developed a 1500 Reference Instruction Manual detailing how to complete the claim form to help standardize nationally the way the form is being completed. Please see the Health Insurance Claim Form Reference Instruction Manual, which states:  

TITLE: Date(s) of Service [lines 1–6]

INSTRUCTIONS: Enter date(s) of service, both the “From” and “To” dates. If there is only one date of service, enter that date under “From.” Leave “To” blank or re-enter “From” date. If grouping services, the place of service, procedure code, charges, and individual provider for each line must be identical for that service line. Grouping is allowed only for services on consecutive days. The number of days must correspond to the number of units in 24G.

*ITEM NUMBER 24G

DESCRIPTION: “Days or Units” is the number of days corresponding to the dates entered in 24A or units as defined in CPT or HCPCS coding manual(s).

For more information, see MaineCare’s EVV webpage.

Please email the EVV email box with questions.


Electronic Visit Verification (EVV) Trainings and Forums

As a reminder, EVV requirement deadlines are January 1, 2021 for Personal Care Services (PCS) and January 1, 2023 for Home Health providers delivering services under Section 40.

With these EVV deadlines quickly approaching, we continue to offer weekly provider and aggregator trainings and forums. All trainings and forums are online via Microsoft Teams.

NOTE:  The Absorb training system has been updated to allow providers to register for trainings and/or forums more than once.

Training 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

Training - Provider

Date

Time

December 10, 2020

9:00-12:00

December 23, 2020

1:00-4:00

December 30, 2020

9:00-12:00

January 7, 2021

1:00-4:00

January 14, 2021

9:00-12:00

January 21, 2021

1:00-4:00

February 4, 2021

9:00-12:00

February 11, 2021

1:00-4:00

February 18, 2021

9:00-12:00

March 4, 2021

1:00-4:00

March 11, 2021

9:00-12:00

March 18, 2021

1:00-4:00

 

Training - Aggregator

Date

Time

Dec. 17, 2020

1:00-2:00

January 28, 2021

9:00-10:00

February 25, 2021

1:00-2:00

March 25, 2021

9:00-10:00

You can register for these courses through the Absorb training platform.

EVV Forums

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

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

Forum Schedule

Forums - Provider

Date

Time

December 22, 2020

1:00-2:00

January 5, 2021

1:00-2:00

January 19, 2021

1:00-2:00

February 2, 2021

1:00-2:00

February 16, 2021

1:00-2:00

March 2, 2021

1:00-2:00

March 16, 2021

1:00-2:00

March 30, 2021

1:00-2:00

 

Forums - Aggregator

Date of Training

Time of Training

December 15, 2020

1:00-2:00

January 12, 2021

1:00-2:00

January 26, 2021

1:00-2:00

February 9, 2021

1:00-2:00

February 23, 2021

1:00-2:00

March 9, 2021

1:00-2:00

March 23, 2021

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 First Time Users

If you have not registered with the Absorb training platform, see the First Time User Guide for assistance. To access the guide, go to the Health PAS Online Portal and log into your TPA (Trading Partner Account). 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 information, including Frequently Asked Questions (FAQ).

Please contact Provider Services with questions:

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