The Department of Human Services (Department) is soliciting public input on the use of electronic visit verification (EVV) systems for Medicaid-funded personal care and home health care services in Pennsylvania.
The 21st Century Cures Act, Public Law 114-255, was signed into law on December 13, 2016. Section 12006 of the Act (codified at 42 U.S.C. § 1396b(l)(1)) requires all states to implement the use of electronic visit verification for Medicaid-funded personal care and home health care services.
EVV is a system that electronically verifies that personal care and home health care services were delivered. According to the Act, EVV for personal care services must be implemented by January 1, 2019, and for home health care services by January 1, 2023.
The EVV system may be maintained and operated by the state, a state contractor or a provider agency. The Act requires that the system verify the type of service provided, individual receiving the service, individual providing the service, date of the service, location of the service delivery and time the service begins and ends. Services may be verified by the recipient’s home landline telephone, smart phone, biometric recognition systems or fixed visit verification device--an electronic random numbers device in the beneficiary’s home.
EVV will be required for personal care and home health care services provided in the following Medical Assistance programs.
The Department is soliciting input from beneficiaries, family caregivers, provider agencies, and individuals who furnish personal care services or home health care services, managed care organizations, and other stakeholders on the current use of EVV in the commonwealth and the impact of EVV implementation. The Department would like feedback on existing best practices; EVV systems currently in use in Pennsylvania; and preference for a state, state-contracted or provider agency-operated EVV system.
The Department intends to implement the EVV requirements so that the system is minimally burdensome and will take into account the input from stakeholders. Input received within 30 days will be reviewed and considered as the Department works to comply with the EVV requirements. Input should be submitted to RA-PWEVVNotice@pa.gov.
The following link has the text of the 21st Century Cures Act: HR 34, the 21st Century Cures Act.