Vermont Medicaid Electronic Visit Verification (EVV) — Implementation Policy (Phase I Personal Care / Phase II Home Health)

What this rule requires your agency to do

• 1In accordance with the Cures Act, the Vermont Medicaid EVV system records service details (person, date, time, type of care, and location) for Medicaid members who receive personal care services.(Vermont Medicaid Electronic Visit Verification (EVV) — Implementation Policy (Phase I Personal Care / Phase II Home Health))
• 2Home Health Agencies (HHA) can use the Vermont EVV system or an alternative (AltEVV) EVV system that connects to Vermont's EVV system.(Vermont Medicaid Electronic Visit Verification (EVV) — Implementation Policy (Phase I Personal Care / Phase II Home Health))
• 3EVV is a timesheet requirement for approval and payment for Consumer Direct services (as of July 2022); paid claims are subject to recoupment (Home Health, March 2022).(Vermont Medicaid Electronic Visit Verification (EVV) — Implementation Policy (Phase I Personal Care / Phase II Home Health))
• 4EVV mandate applies only to the part-time or intermittent care that falls under the 1905(a) coverage category of home health services; EVV is not required for High-Tech Nursing, Children's Palliative Care, Hospice, or durable medical equipment and supplies.(Vermont Medicaid Electronic Visit Verification (EVV) — Implementation Policy (Phase I Personal Care / Phase II Home Health))
• 5Personal Care Services (Phase I) must use the EVV system, which was in place January 1, 2021.(Vermont Medicaid Electronic Visit Verification (EVV) — Implementation Policy (Phase I Personal Care / Phase II Home Health))
• 6Home Health Services (Phase II) — including Skilled Nursing, Physical Therapy, Occupational Therapy, Speech Therapy, and Home Health Aide Services — must use EVV by January 1, 2023.(Vermont Medicaid Electronic Visit Verification (EVV) — Implementation Policy (Phase I Personal Care / Phase II Home Health))