New Mexico EVV FAQ UPDATED · 2020. 12. 31. · NEW MEXICO EVV FAQ. Electronic Visit Verification...
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NEW MEXICO EVV FAQ Electronic Visit Verification Frequently Asked Questions for New Mexico - MiVia, Supports Waiver and DD Waiver Agency DECEMBER 2020 (UPDATED) OVERVIEW Electronic Visit Verification (EVV) is a system which electronically verifies that home or community-based service visits occur by capturing and documenting six points of data: Type of service performed Individual receiving services Individual providing services Date of the service Location of the service Time services begins and ends EVV is a federal mandate under the 21st Century Cures Act that requires compliance by Medicaid agencies by January 1st 2021. What EVV System will Palco use? Palco has partnered with FiServ to provide stakeholders with one of the best EVV platforms that exists nation wide. How will the six data points be captured? Palco clients will be using the telephony/IVR option. Using a landline or mobile phone, the system will capture the location and 5 other data points in real time. Please review the training provided by Palco for more information. When will EVV be implemented? EVV must be implemented for all New Mexico recipients by January 1, 2021 for applicable service codes. WWW.PALCOFIRST.COM PALCO NM EVV FAQ| PG 1 CLICK HERE FOR MEDICAID GUIDANCE ON ELECTRONIC VISIT VERIFICATION MORE INFORMATION: This is not for the Managed Care / Self Directed Community Benefit (SDCB)
Transcript of New Mexico EVV FAQ UPDATED · 2020. 12. 31. · NEW MEXICO EVV FAQ. Electronic Visit Verification...
NEW MEXICO EVV FAQElectronic Visit Verification Frequently Asked Questions for
New Mexico - MiVia, Supports Waiver and DD Waiver Agency
DECEMBER 2020 (UPDATED)
OVERVIEW
Electronic Visit Verification(EVV) is a system which
electronically verifies that homeor community-based servicevisits occur by capturing and
documenting six points of data:
Type of service performed Individual receiving services Individual providing services
Date of the service Location of the service
Time services begins and ends
EVV is a federal mandate underthe 21st Century Cures Act that
requires compliance by Medicaidagencies by January 1st 2021.
What EVV System will Palco use?
Palco has partnered with FiServ to providestakeholders with one of the best EVVplatforms that exists nation wide.
How will the six data points be captured?
Palco clients will be using the telephony/IVRoption. Using a landline or mobile phone, thesystem will capture the location and 5 other datapoints in real time. Please review the trainingprovided by Palco for more information.
When will EVV be implemented?
EVV must be implemented for all New Mexicorecipients by January 1, 2021 for applicableservice codes.
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CLICK HERE FOR MEDICAIDGUIDANCE ON ELECTRONIC
VISIT VERIFICATION
MORE INFORMATION:
This is not for the Managed Care / Self Directed Community Benefit (SDCB)
All Medicaid data, EVV relatedor not, is stored on secure
servers that are managed andmaintained by Palco. We areresponsible for ensuring the
data meets state cybersecurity and Health InsurancePortability and Accountability
Act (HIPAA) requirements.
How will service detailscollected through EVV be
kept safe?
Can the EVV solution beused in rural areas?
The EVV Solution is designedto work across the state. Thetelephony/IVR option can beused with any landline or cell
phone.
How long does clockingin/out take?
We estimate the averagetime to be less than one
minute.
Telephony or InteractiveVoice Recognition (IVR) is amethod of EVV used via the
participant's landline ormobile phone. The
employee uses a landline ormobile phone to call in atthe beginning of the shift
and call out at the end. Callsare to a toll-free numberand voice prompts guide
the entire process.
What is telephony/IVR andhow does it work?
What happens if thereis a mistake with the
time entry?
The EOR can accessFOCoS to add any time
that was missed. Thisapplies to self-directed
services only.
Can I use theTelephony/IVR option
from my cell phone?For the state of New Mexico, in Phase one, cell phones canbe used for IVR to capture allthe required data as part ofthe 21st Century Cures Act.
This will change in Phase twoof the implementation and
only verified landlines and themobile app will be allowed.
Whose phone can beused for clocking in?
For Phase one, any phonecan be used. The phone canbe the participant's phone,
caregiver's phone oranother avalaible phone.
Does it have to be thesame phone every time?
For Phase one, no. Anyphone can be used.
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If I am exempt from onlinetimesheets, am I alsoexempt from EVV?
Yes, the exemption process foronline timesheets will be thesame exemption process for
EVV. Specific criteria must bemet in order to receive anexemption. Contact you
consultant or CSC forinformation.
The approved hours
and services do not change
because of EVV. You are
still only approved
for the same amount of
services and hours on your
plan. If you have
questions about what is
approved, please follow up
with your Consultant,
CSC, or Case Manager
What if my employee liveswith me and takes care ofme 24/7 and 365 days a
year?
No, if your EVV timeand your timesheet for
other services aresubmitted on time, you willget paid for EVV and otherservices at the same time
since they are for the samepay period.
Will I get separate checksfor EVV and my other
services that are not EVV?
How can I get trainingon EVV?
Palco provided NewMexico program
stakeholders training inDecember. To view a
recording visit the PalcoYouTube library for
access. https://www.youtube.co
m/channel/UCwnV29qcSNa6_GBktF4Lxzw/videos
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No, part of being compliantwith the mandate is
ensuring all 6 points of dataare captured in real time.
You must clock in and clockout as the services begin
and end.
Can I record all of my timeat the end of the day?
Two EVV required servicesshould not be provided at
the same time.
What do I do if I amproviding two services at
the same time?
Services should only beprovided to one participant
at one time.
What do I do if I amproviding services for twoParticipants at the same
time?
Both employees should clockin when the shift starts and
clock out when the shiftends.
What if two employees areproviding services at the
same time?
The self-directing employercan review and approve the
time in the Focos system.
Who will approve the EVVtime?
The provider agency isresponsible to train and
ensure all employeesproviding EVV required
services are in compliance.
Contact the Consolidated Customer Service Center at 1-800-283-4465 and press “5” for assistance. Hours are 7am
to 5pm, Monday through Friday.
Please visit the Palco website for forms and resources!https://palcofirst.com/new-mexico/
Send any enrollment paperwork to Conduent:Fax: 866.302.6787
Email: [email protected] Address: PO Box 27460, Albuquerque, NM 87125
Yes. Agencies will need toensure all employees andindependent contractors
that they employ to provideEVV required services
comply with the FederalMandate.
Agencies must register withAuthenticare and use theAuthenticare system to
register and manage theirworkers. Please see the
training for moreinformation on how to
register with Authenticare.
The EOR and Agency shouldwork together to determinethe responsibilities of eachparty and ensure the EVV
mandate is met.
Other Questions?
Do Agencies have tocomply with EVV?
AGENCY PROVIDERS
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How will agency workersget registered?
Who is responsible to trainagency workers on EVV?
The provider agency mustensure anyone providing EVV
mandated services on theirbehalf complies with EVV.
Do independentcontractors have tocomply with EVV?
What is the role of theEOR for agency services?
Nothing with billing practiceshas changed. Agencies mustensure compliance with EVV
by ensuring employees arecomplying. EVV will be tied to
claims and records will need toalign starting in phase 2.
How does EVV affect billing?
Agencies should review theAuthenticare User Guide
supplied by Palco fordirection on navigating
Authenticare.
How do agencies learnabout Authenticare?
This is the responsibility ofthe agency.
Who can assist theemployees with their
schedule or when to clockin/out?
Yes! Please see user guide.
Can agencies pull reportsfor their employees in
authenticare?
