IRIS Electronic Visit Verification (EVV) — IRIS Policy and Procedures (P-03053)

What this rule requires your agency to do

• 1EVV is required for: IRIS self-directed personal care per 15 minutes (T1019), routine supportive home care per 15 minutes (S5125), routine supportive home care per day (S5126), and their EVV grace-period (U8) codes.(IRIS Electronic Visit Verification (EVV) — IRIS Policy and Procedures (P-03053))
• 2Provider agencies exempting live-in workers from EVV must maintain (and provide on request) documentation showing the worker's name and current residential address satisfying the live-in requirements, and must communicate live-in worker status to the IRIS consultant agency.(IRIS Electronic Visit Verification (EVV) — IRIS Policy and Procedures (P-03053))
• 3Non-live-in participant-hired workers must check in and check out with the fiscal employer agency's EVV system for each shift, access/review EVV training materials, and communicate needed check-in/check-out corrections.(IRIS Electronic Visit Verification (EVV) — IRIS Policy and Procedures (P-03053))
• 4Workers or agencies claiming an EVV system/power outage exception must submit the IRIS EVV System or Power Outage Exception Notification form (F-03117) with the applicable claim(s) and be able to document proof of the outage (start/end date and time and reason) upon DHS request; provider agency claims missing required EVV detail will be denied.(IRIS Electronic Visit Verification (EVV) — IRIS Policy and Procedures (P-03053))
• 5Live-in workers must notify the participant's fiscal employer agency within seven (7) days of a change in living situation, and the participant must attest to no change in live-in worker status during the annual plan renewal.(IRIS Electronic Visit Verification (EVV) — IRIS Policy and Procedures (P-03053))
• 6Fiscal employer agencies and provider agencies that choose to use an alternate EVV system must have the system certified by DHS and must provide training and education to their users.(IRIS Electronic Visit Verification (EVV) — IRIS Policy and Procedures (P-03053))
• 7Participant-hired workers are expected to accurately use EVV at least 80% of the time; failure to meet EVV requirements for dates of service beginning May 1, 2023 will result in the participant's disenrollment from the IRIS program (after the 60-day grace period and the risk-agreement process).(IRIS Electronic Visit Verification (EVV) — IRIS Policy and Procedures (P-03053))
• 8In IRIS, provider agencies and non-live-in participant-hired workers providing personal care services and routine supportive home care services are required to use EVV, capturing who receives/provides the service, what service, where, the date, and the worker's time in and time out.(IRIS Electronic Visit Verification (EVV) — IRIS Policy and Procedures (P-03053))