The 21st Century Cures Act requires NC Medicaid to begin using an Electronic Visit Verification (EVV) system for Home Health Care Services (HHCS) and Personal Care Services (PCS).
To ensure that the provider community complies with the Cures Act mandate requirements, Partners Health Management has partnered with HHAeXchange as its EVV solution.
What is Electronic Visit Verification?
Electronic Visit Verification is a system that uses technology to record and confirm information about the delivery of services. This system uses time, date and location information from a cell phone, a home phone (landline) or an electronic fob to verify that Medicaid services and programs authorized by Partners are received by our members. EVV uses technology to record the times, dates and specific services that are given. This process makes sure that people who should receive services, in fact, receive them.
Section 12006 of the 21st Century Cures Act requires that the North Carolina Department of Health and Human Services (NC DHHS) begins using an Electronic Visit Verification (EVV) system for Personal Care Services (PCS) by January 1, 2021. Personal Care Services Physical Health (PCS- HH) and Home Health Care Services (HHS) by October 1, 2023.
Updates
Section 12006 of the 21st Century Cures Act requires that the North Carolina Department of Health and Human Services (NC DHHS) begins using an Electronic Visit Verification (EVV) system for Personal Care Services Physical Health (PCS- HH) and Home Health Care Services (HHS) by October 1, 2023.
EVV Implementation Dates (From the March 31, 2023 Medicaid Bulletin)
|
Plan |
Soft Launch Date |
Hard Launch Date |
| NC Medicaid C (Only) Plans (PCS) | 7/01/2021 | 11/01/2021 |
| Tailored Plans (PCS, 99509) |
10/01/2023 | 12/01/2023 |
| Tailored Plans (HHCS) |
10/01/2023 | 12/01/2023 |
How to prepare for the October 1, 2023 launch for EVV Tailored Plan Providers?
The 21st Century Cures Act (Section 12006a) and The Centers for Medicare & Medicaid Services (CMS) mandate that states begin utilizing an Electronic Visit Verification (EVV) system for Personal Care Services (PCS) that require an in-home visit.
Partners has connected with HHAeXchange to provide the EVV tools necessary for designated providers to comply and meet the requirement. HHAeXchange offers EVV solutions at no cost to providers and data integration options for providers who already have EVV software.
In preparation for the Tailored Plans Physical Health PCS (99509) launch date of October 1, 2023, we want to ensure your agency is ready to start using the HHAeXchange Provider Portal for your patients.
If your agency does not have a portal with HHAeXchange, please complete the Tailored Plan HHAeXchange Provider Portal survey.
If you already use HHAeXchange, you can link all payors within the same portal. In many cases, this will happen automatically. However, if you do not see this happen, please submit a support ticket with HHA to have the additional payor(s) linked to your account.
- HHA Support email: NCSupport@hhaexchange.com.
- Use the chat option within the Provider Portal.
- Visit the Customer Support Portal– https://hhaxsupport.atlassian.net/servicedesk/customer/user/login?destination=portals.
Please view this archived webinar for an overview of the HHAeXchange system.
More information about this mandate can be found at:
- Medicaid.gov Electronic Visit Verification
- NCDHHS Electronic Visit Verification
- NC Medicaid – Frequently Asked Questions Electronic Visit Verification (EVV)
- NC Medicaid – Terms and Acronyms Electronic Visit Verification (EVV)
Codes requiring EVV:
Med Direct C:
T2013 TF – Community Living and Supports
T2013 TF CR – Community Living & Supports Indiv Disaster
T2013 TF CR EO – Community Living and Supp Emp of Rec Disaster
T2013 TF EO – Community Living and Supports Empl of Rec
T2013 TF HQ – Community Living and Supports Group
T2013 TF HQ CR – Community Living & Supports Group Disaster
T2013 TF HQ CR EO – Community Living and Supp Grp Emp of Rec Disaster
T2013 TF HQ EO – Community Living and Supports Group Empl of Rec
T2033 U1 – Supported Living Periodic
More information
- NCDHHS EVV Website
- HHAX EVV FAQ Document
- Information and EVV Training Specific to Innovations/TBI/(b)(3) Services (NCDHHS)
- EVV Provider Presentation
- EVV Provider Video Tutorials
- EVV FAQ for Providers
If you have questions specific to Partners, email EVVSupport@partnersbhm.org.
Updated: June 5, 2023