What’s Happening with Indiana Medicaid and EVV

Indiana has chosen the open model for EVV compliance to the 21st Century Cures Act. On Tuesday, November 26, 2019 the In.gov/Family & Social Services Administration website announced an extension to EVV (electronic visit verification) requirements. “The 21st Century Cures Act directs state Medicaid programs to require personal care service and home health service providers to use an electronic visit verification (EVV) system to document the services rendered. See Indiana Health Coverage Programs (IHCP) Bulletins BT201951 and BT201855 for more information.

Indiana Medicaid EVV

“In accordance with this federal requirement, the Indiana Health Coverage Programs (IHCP) worked toward implementing an EVV system by January 1, 2020. However, after receiving input from the provider community, the Indiana Family and Social Services Administration (FSSA) submitted a good faith exemption request to the Centers of Medicare & Medicaid Services (CMS) to extend the soft launch of EVV. This would allow additional collaboration with affected providers and individuals to ensure a successful EVV implementation for Indiana. The Centers for Medicare & Medicaid Services (CMS) approved Indiana’s request (see letter of approval attachment), which extends the EVV soft launch through December 31, 2020.” Read more about these changes.

While the State has additional time to meet the federal EVV requirement, providers are strongly encouraged to continue taking steps now to be ready by January 1, 2021. Providers need to determine whether they would like to utilize the State’s EVV solution, Sandata, or an alternative EVV solution.”

The IHCP (Indiana Health Coverage Programs) Has Chosen a State Sponsored System

The IHCP (Indiana Health Coverage Programs) has chosen Sandata as the State-sponsored system for the implementation of federal EVV requirements. Indiana health care providers may choose to use an EVV system other than Sandata, such as Rosemark. These providers will be required to export data from their alternate system to the Sandata “Aggregator” for integration with CoreMMIS. This is an open vendor model. The important distinction is that Rosemark will be integrating with Sandata so that exporting will not be necessary.

Indiana Medicaid and Rosemark’s Home Care Management System

Sandata has been chosen to be the aggregator in Indiana, Rosemark is ahead of the game because of our integrations with Sandata in Rhode Island, Connecticut and Ohio. We are currently working on the necessary implements to keep the process as seamless as possible for your Indiana agency to get paid in a timely manner. If you are using Rosemark then you know that you also have Rosemark’s great home healthcare software streamlining most of your day-to-day operations.

Please check with your account manager at Shoshana Technologies, makers of the Rosemark System for questions concerning your Indiana account.

For a consultation about our caregiver management software, call 734-662-3537