Trusted EVV-Compliant Home Care Software That Helps You Get Paid Faster

• Rosemark integrates with Sandata, the aggregator for Missouri EVV.
• Sandata sends the data as EDI files.
• If an agency provides Respite services, it must have 2 Provider IDs. It’s the agency’s responsibility to know their Provider IDs, what services they provide, and what the necessary procedure codes (and modifiers) are.
• Missouri also requires Task information to be sent along with EVV.
• All Sandata services bill through the Missouri state site’s portal, eMOMED.

Missouri requires all home care agencies billing Medicaid to include the following profile data for each client:

• First and Last Name
• Medicaid Number
• Birthdate
• Primary ICD 10 Diagnosis Code
• If the client has one or more of the following services, they must have a care plan set up in order to send task data to the state:
  • S5120 – Chore
  • S5130 – Homemaker
  • T1019:U2 DSDS – CDS Personal Care
  • T1019: DSDS – Personal Care
  • T1019: TF DSDS – Advanced Personal Care

Home care agencies in Missouri are required by the state to include the following caregiver information:

• First and Last Name
• Birthdate
• Social Security Number
• Family Care Safety Register Number
• Email address
• Caregiver ID #

• Register with the state to provide Medicaid services
• Receive a Medicaid provider ID and services/procedure codes of the type of care they are authorized to provide
• Have software that integrates with Sandata
• Get a client
• Set up client details and schedule
• Record EVV
• Send EVV and Visit data to Sandata
• Agency bills through state portal
• State reviews EVV data supporting claims in Sandata
• The state releases remittance reports and disburses money

Based on the Missouri specs for building the integration, customers who have gone through audits, and working with Sandata for years, Rosemark’s Customer Success Team knows some best practices for home care agencies in Missouri:

• Keep manual edits to Visits under 10% of all your total visits.
• When making a manual edit to a visit, choose a Reason Code that best matches the situation. For example:
  • Did the caregiver simply forget to clock in/out?
  • Or was there a problem with the visit?
• The Reason Code and note section are very important when making manual edits to visits, especially if your agency were to be audited. Be sure to keep detailed notes.
• Special documentation for manual edits to visits are required! This can be documentation of a phone call to the client verifying the visit was worked, a signed timesheet by the client, or – best case scenario – both.
  • If you’re audited, remember this: In the state’s eyes, if it isn’t documented, it didn’t happen.
• It’s always better to have EVV by the caregiver, even if, for example, the caregiver clocked out hours late because they forgot.
• To stay compliant, it is crucial to manage missing EVV and visit errors on a daily basis.