25 Jun Ohio Phase 2 of EVV Mandate

Ohio EVV Phase Two Information

Ohio Department of Medicaid Prepares for the Implementation of Phase 2 of EVV Mandate

Ohio Department of Medicaid (ODM) is planning to go live with their phase 2 of Electronic Visit Verification (EVV) initiative on August 5, 2019. The chart of services for phase II of EVV is as follows:

Managed Care Organizations billing Medicaid (Aetna, United Healthcare, Molina, Buckeye, Paramount, and CareSource). EVV implementation in managed care will apply to the following services:

Ohio Department of Medicaid (ODM) is planning to go live with their phase 2 of Electronic Visit Verification (EVV) initiative on August 5, 2019. The chart of services for phase II of EVV is as follows:

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
• PASSPORT- Waiver Nursing RN

**Self-directed services are not included in Phase II

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)

On January 8, 2018, the Ohio Department of Medicaid (ODM) implemented Phase 1 of the state’s mandated Electronic Visit Verification (EVV) for agencies operating in the state. In short, the mandate instituted a requirement that OH homecare agencies and related businesses providing home health utilize an electronic-based EVV system that verifies when provider visits occur, and documents the exact time services begin and end. The goal was to ensure that individuals receive their medically necessary services and that Medicaid is accurately billed for those services.

Request Free Information about ODM Certified EVV Vendor Alora Home Health Software

The chart of services for Phase I, implemented Jan 8, 2018 denotes the EVV program for services billed directly to OH 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)

Alora offers an ODM certified EVV solution available as an integrated component of Alora Home Health Software for Ohio. This solution offers several key advantages over the free Sandata system.

Alora software for Ohio home health agency offers live-monitoring of home visits, alerting agencies for delayed visits and no-shows. This capability gives a real-time view of the home visits, by the minute. It helps your agency stay compliant while avoiding lost revenue due to missed visits. With Alora, agencies are in full control of what goes on with home visits. The EVV data captured automatically flows into the system, facilitating faster billing and accurate payroll. For more information on Alora’s home health software of OH agency visit our OH Medicaid EVV page, or if you would like to request free information on our home health software click here.

You can read more information on phase I & II of ODM’s EVV implementation at http://medicaid.ohio.gov/EVV.

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Alora is an ODM Certified Electronic Visit Verification Provider. Contact us to learn more.