Electronic Visit Verification

 
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Medicaid Related Assistance
Medicaid & Long-Term Care
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What you need to know

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New Provider Forum for Upcoming EVV Changes (Posted July 25, 2024)

The Nebraska Department of Health and Human Services would like to invite providers to attend a forum that has been scheduled to give providers the opportunity to be heard and ask questions related to the upcoming EVV changes communicated in Provider Bulletin 24-16.  The department apologizes for the technical difficulties experienced during the State of Nebraska PCS EVV Town Hall held on July 24th that prevented the department from being able to take questions and provide answers.  The department has scheduled a follow up forum to provide additional information and to provide an opportunity for important stakeholder interaction, and questions.   Please see below for information regarding this upcoming PCS EVV Changes Provider Forum. 

PCS EVV Changes Provider Forum Date/Time:  

PCS EVV Changes Provider Forum Agenda:

  • Overview of Why PCS Changes are Occurring
  • Review Frequently Asked Questions Received to Date
  • Information, Resources, and Support
  • Changes planned for future Town Halls
  • Live Question and Answer Session​

Additional Resources:

The department appreciates your participation and values your feedback, questions, and perspective.


​August 14, 2024 EVV Changes

In 2020, Nebraska Medicaid announced that PAS and HCBS Providers were required to use the EVV system for their billing as of January 2021. Recent audit findings show that providers have not complied with the regulations outlined in Nebraska Administrative Code (NAC) titles, 403, 404, 471, and 480. The audit determined that providers are out of compliance with the state and federal regulations that establish that the caregiver was with the client completing services. Claims can only be submitted for payment when the caregiver follows these requirements to substantiate their presence with the client. Per the 21st Century Cures Act, all Providers participating in the Medicaid program who render Personal Care Services (PCS) or Home Health Services (HHCS) are required to use the EVV system.

This communication is to inform providers of upcoming changes to the EVV system announced via PB 24-16, requiring that providers use visit verification and obtain client signatures on all vi​sits in order to bill for payment. To view the State Electronic Visit Verification Bulletin that pertains to these EVV updates click here: 

Nebraska Medicaid and Netsmart will be hosting three virtual townhalls for providers. Please ensure you or a representative can attend one of the below listed townhall webinars to learn important information on upcoming system changes related to the audit findings and how to navigate them within the Netsmart system.

Please attend one of the Town Hall meetings below:

Additional login methods can be found on the event listing on the DDD calendar at the bottom of the DDD homepage.

Meetings will be recorded for future reference and can be found here. ​

EVV Single Audit Frequently Asked Questions​​​​

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​Nebraska Medicaid to Begin EVV Home Health Implementation

Nebraska Medicaid will begin the phased implementation of the new electronic visit verification (EVV) system for home health providers on January 1, 2024.

Registration for home health providers opens on December 18, 2023.

EVV for personal care services was implemented by Nebraska Medicaid on January 1, 2021.

EVV Home Health Frequently Asked Questions​​​

If you have a question that is not on the FAQ or need additional assistance, you can contact Nebraska Medicaid via email at DHHS.EVVHomeHealth@nebraska.gov​.​

​Background​

The Federal 21st Century Cures Act (2016)​ required Nebraska to implement a new electronic visit verification (EVV) system for Medicaid personal assistance services and home health providers. 

Please subscribe to this page if you would like to receive email notifications each time new information is available. ​

Section 12006 of the Cures Act amended the Social Security Act mandating state Medicaid agencies to implement EVV for personal care services requiring an in-home visit by a provider beginning January 1, 2019. 

A federal change later adjusted the date to January 1, 2020, and provided an option for states to apply for a 'Good Faith Exemption' request to implement EVV for personal care services at a later date. 

Nebraska applied for the Good Faith Exemption and was approved by CMS to implement EVV for personal care services prior to January 1, 2021. Home health care services will be required to utilize EVV beginning January 1, 2023.​​

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What is Nebraska doing to implement EVV?

Nebraska is implementing EVV in two separate phases. Phase 1 focused on Personal Care Services and Phase 2 will be implemented on January 1, 2024, and focuses on Home Health Services.

​EVV allows providers to clock in and out of service appointments using an application on their smartphone or other electronic device. Providers will be able to record the exact date, time, service provided, and location of a visit.  This will help the Department of Health and Human Services (DHHS) verify visit information.

EVV is good for participants, providers, and DHHS. Some of EVV's benefits include:

  • Providers will not need to use paper time sheets for services verified by EVV.
  • It will be easier for DHHS will record and verify visit information to make sure members receive only DHHS-approved services and that the service was provided. 

Project History - Important Dates 

  • Production-ready for third-party EVV vendors: 11/13/2020
  • Registration date: 12/20/2020
  • Start date for DD waiver providers using Therap: 01/01/2021
  • EVV for Personal Care Services launch date: 01/03/2021
  • Start date for agency providers with third-party EVV vendors: 01/03/2021
  • EVV for Personal Care Services was certified by CMS : 07/27/22
  • DHHS has received approval from CMS for its Good Faith Effort (GFE) exemption request  to extend the implementation of electronic visit verification for home health care services from January 1, 2023 to January 1, 2024. 
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Phase 1: Personal Care Services

  • EVV System Implemented on January 1, 2021.
  • Personal Care Services Include:
    • Consumer Direct Services
    • Home Health Agency Services
  • Communications
    • ​Personal Care Services FAQ

Phase 2: Home Health Services

The phased implementation of EVV for home health begins on January 1, 2024.

​Implementation Timeline(Estimated) Start Date
Self-Registration Opens
December 18, 2023
Visit Capture Begins
January 1, 2024
Visit Capture Mandated
April 1, 2024
Claims Mandated through Mobile Caregiver+
April 1, 2024​*

Home Health Services Include:

  • ​Home Health Aid Services
  • Occupational Therapy
  • Physical Therapy
  • Skilled Nursing Services
  • ​Speech Therapy

EVV will not be required for all services that a Home Health Agency may deliver.

EVV is not required for durable medical equipment and supplies.

Consistent with previous guidance, as of April 1, 2024, all providers will be required to capture their visits in the Netsmart Electronic Visit Verification (EVV) system. 

* DHHS is extending the requirement that claim submissions must also be submitted through the Netsmart EVV system to May 1, 2024. This is to allow all providers additional time to complete the implementation of their technical solutions. Please contact the Heritage Health managed care plans that you are enrolled with as a provider if you have any further questions.

​​Guidance & Updates​​

Federal Guidance

Information for Providers

Information for Participants

Alternate EVV Vendor Requirements

DHHS will require alternate EVV Vendors to sign an attestation for Netsmart saying their system is compliant.

Resources​


Completed forms for personal care service providers should be emailed to Nebraska Medicaid at DHHS.MedicaidFA-EVV@Nebraska.gov​ or faxed to (402) 742-2321.

Completed forms for home health providers should be emailed to Nebraska Medicaid at DHHS.EVVHomeHealth@nebraska.gov or faxed to (402) 742-2321.

Netsmart Support Line
Phone Number
(833) 483-5587​

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