Electronic Visit Verification

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It is an electronic system that verifies when the Caregiver visits occur and documents the precise time services begin and end.  Section 12006 of the 21st Century Cures Act requires all states to implement the use of EVV for the Medicaid-funded personal care services (PCS), including respite services, for in-home and community visits by a provider.

EVV captures:

Which agency employee provided the service
The time and date that a visit began and ended
The individual who received the service
The tasks that were completed during the visit
The location of service delivery.

EVV can help improve quality of care by making caregiver activities transparent and measurable. Also, EVV reduces the likelihood for error or fraud by identifying the client, recording the individual caregiver’s location and clock-in and clock-out times, and services provided. No need for paper anymore! There is also a less likelihood for error with the ability to clock-in and clock out seamlessly.

Community Health Choices (CHC) is PA’s mandatory Managed Care Organizations(MCO) who are dually eligible for both Medical Assistance and Medicare. The MCOs are responsible for the delivery and pay of your services instead of the state.  CFYHC will provide you with care and then we bill the state for those services.

What is managed care?

Managed Care is when an insurance company gets money from the state to pay for healthcare services. The State to do this because it is cheaper for the state to have insurance companies pay for services instead of doing it themselves.
Managed Care exists for other sorts of Medicaid programs in Pennsylvania already, it is long term care that is just now shifting over to a managed care model. Depending on the patient’s eligibility status and how they pay for their care, they may already be working with a Medicaid managed care network.

Will this affect my care, hours, aide?

Your hours will not change when CHC goes into effect January 2021.
You will still be able to receive personal care services from your aide when CHC starts next year.
CHC goes into effect January 2021 and your care plan should not change.  As far as Caregivers pay you will be paid by CFYHC and CHC will not affect this.