Dear Provider,

Electronic Visit Verification (EVV) is an electronic-based 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 and that Medicaid is being accurately billed. On January 8, 2018, the Ohio Department of Medicaid (ODM) implemented Phase 1. In May 2019, ODM will require Medicaid providers billing for Phase 2 services to use EVV which will comply with the 21^st Century Cures Act. Please review chart of services in both phases below.

Phase 1 Services	Implemented January 8, 2018
	EVV program for services billed directly to Medicaid for fee-for-service: State Plan Home Health Aide State Plan Home Health Nursing State Plan RN Assessment Ohio Home Care Waiver (OHCW) Nursing OHCW Personal Care Aide OHCW Home Care Attendant OHCW RN Assessment Private Duty Nursing (PDN)

Phase 2 Services	All providers must be entering EVV visits beginning May 6, 2019.
	EVV Program for the following payers: Managed Care Organizations billing Medicaid (Aetna, United Healthcare, Molina, Buckeye, Paramount, and CareSource). EVV implementation in managed care will apply to the following services: State Plan Home Health Aide State Plan Home Health Nursing State Plan RN Assessment HCBS 1915c Waiver Nursing HCBS 1915c Waiver Personal Care Aide HCBS 1915c Waiver Home Care Attendant Private Duty Nursing (PDN)
	Ohio Department of Aging (ODA): PASSPORT- Home Care Attendant Nursing PASSPORT- Home Care Attendant Personal Care PASSPORT- Personal Care PASSPORT- Waiver Nursing LPN Phase 2 Services continued on next page   PASSPORT- Waiver Nursing RN **Self-directed services are not included in Phase 2	Ohio Department of Developmental Disabilities (DODD): Individual Options (IO) Waiver Nursing Homemaker/Personal Care (HPC) Exceptions : Will not apply to participant-directed services Will not apply to the on-site/on-call component of HPC Will not apply to services billed using the daily billing unit (DBU)

 

ODM has contracted with Sandata Technologies LLC to deliver the EVV system, as well as to provide system orientation and training to providers. Although you are required to participate, there is no cost for the Sandata EVV system to you or the individuals receiving services. Any costs incurred by agency providers choosing to use an Alternative EVV system are not the responsibility of the State. In addition, there may be minimal changes in the claims submittal process. A grace period for Phase 2 services will be offered to providers after go-live before payment of claims will be impacted.

Benefits of the EVV system include:

Sincerely,
 

Provider Services