Attention Home Health and Hospice Providers: Electronic Visit Verification (EVV) implementation

Attention Home Health and Hospice Providers: Electronic Visit Verification (EVV) implementation

Federal Deadlines

The federal deadline to implement the EVV requirement for providers delivering Home Health services under Section 40 and Hospice Services under Section 43 is January 1, 2023.

EVV Pend Process

To ensure that providers are on a path to successfully meet the federal January 1, 2023 deadline, MaineCare will begin implementing the EVV pend process for dates of service beginning July 1, 2022 for Home Health and Hospice claims. This will give providers a “soft launch” opportunity during which 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 process to pay unless denied for other reasons.

For dates of service beginning on January 1, 2023, claims without a verified matching EVV record will pend for up to 30 days and then deny if no verified EVV record is found.

We strongly encourage you to work toward implementation of the EVV requirements ahead of the impending July 1, 2022 soft launch as well as the January 1, 2023 deadline for full implementation.

Getting Started

Visit our EVV webpage to learn about system set up, service codes that require EVV visit records, implementation tips, frequently asked questions, and more.

Maine has an open EVV system platform that allows providers to utilize the State-offered EVV system or their own EVV system to connect with MIHMS.

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.

To begin using an Alternate or 3rd Party EVV system please review the Alternate EVV Systems document.

The process for integrating an Alternate or 3^rd Party EVV system is dependent on how long the provider and/or vendor takes to complete their steps. The minimum time to complete the alternate system integration process is eight weeks. Therefore, 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 have completed the Alternate EVV System integration process.

EVV Training and Forums

With EVV deadlines approaching, we are offering provider and 3^rd party (aggregator) trainings. Currently all trainings are online via Microsoft Teams.

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

Provider Training
Date	Time
August 12, 2021	1:00-4:00
September 9, 2021	9:00-12:00

 

Aggregator Training
Date	Time
August 26, 2021	1:00-2:00
September 23, 2021	9:00-10:00

More training dates will be announced in September.

Register through Absorb

You can register for these courses through the Absorb training platform. The Absorb training system allows providers to register for trainings and forums more than once. If this is your first time using the Absorb training platform, go to the Absorb training site and follow the instructions to create your login credentials.

EVV Forums

Provider and aggregator forums are meetings where you can ask the State, Gainwell, and Sandata EVV-related questions. We will offer these again closer to the Home Health and Hospice EVV soft launch period.

Questions?

See the EVV webpage for more details about EVV requirements