Electronic Visit Verification (“EVV”) has slowly been rolled out and is finally being officially implemented in Minnesota. You may have heard mixed messages about when it is due and how to comply. Here’s what you need to know:

 

WHAT is EVV?

Electronic Visit Verification (“EVV”) is a method for the government to document and confirm that people are receiving the services that are billed to the government. The 21st Century Cures Act, Public Law 114–255 (PDF), signed in December 2016, requires providers of personal care, including personal care assistance (PCA) and some waiver services and home health care providers to use electronic visit verification to be eligible for funding.

In Minnesota,  Electronic Visit Verification (“EVV”) will verify the (1) Type of service performed; (2) Who received the service; (3) Date of service; (4) Location of service delivery; (5) Who provided the service; and (6) When the service begins and ends.

WHO Needs to do EVV?

All providers of personal care need to comply with the Electronic Visit Verification (“EVV”) requirements. This includes personal care services such as those that support activities of daily living (ADL), such as mobility, bathing, toileting, transferring and personal hygiene, or those that support instrumental activities of daily living (IADL), such as meal preparation, assistance with paying bills, shopping and telephone use.

 

Specifically in Minnesota, the following service types and billing codes need to comply with  Electronic Visit Verification (“EVV”) requirements:

 

Personal care

Service name HCPC
CDCS Personal Assistance, Decremental T2028-U1
Consumer Support Grant, Decremental T2025
Crisis Respite, 15 Minutes T1005
Crisis Respite, Specialized, 15 Minutes T1005-TG
Crisis Respite, Daily S9125
Homemaker, Assistance with Personal Cares, 15 Minutes S5130-TG
Individual Community Living Support, In Person, 15 Minutes H2015-U3
Night Supervision, 15 Minutes S5135-UA
Personal Care Services T1019 with any modifier
Respite Care Services, In Home, 15 Minutes S5150
Respite Care Services, In Home, Daily S5151

Personal care service 

Current service name Current HCPC Waiver Reimagine service name Waiver Reimagine HCPC Waiver Reimagine HCPC (shared care)
In-Home Family Support, 15 Minutes S5125 Individualized Home Supports with family training S5125 UC (1:1) S5125 UC UN (1:2)
Independent Living Skills (ILS) Training, 15 Minutes H2032 TF; H2032 TF TT Individualized Home Supports with training H2014 U3 UC (1:1) H2014 U3 UC UN (1:1)
Individualized Home Supports, 15 Minutes H2014 U3 Individualized Home Supports with training H2014 U3 UC (1:1) H2014 U3 UC UN (1:1)
Individualized Home Supports, Daily H0043 U3 Individualized Home Supports with training H0043 U3 UC H2014 U3 UC UN (1:1)
Personal Support, 15 Minutes S5135 Individualized Home Supports without training S5135 UC (1:1) S5135 UC UN (1:2)
Personal Support/Adult Companion, 15 Minutes S5135 Individualized Home Supports without training S5135 UC (1:1) S5135 UC UN (1:2)

Home health

Service name HCPC
Direct Skilled Nursing, LPN, Home or Hospice, 15 Minutes G0300
Direct Skilled Nursing, RN, Home or Hospice, 15 Minutes G0299
Home Health Aide, Extended, 15 Minutes T1004
Home Health Aide, Per Visit T1021
Occupational Therapy Assistant, Per Visit S9129-TF
Occupational Therapy Assistant, Extended, Per Visit S2929-TF UC
Occupational Therapy, Extended, Per Visit S9129-UC
Occupational Therapy, Per Visit S9129
Physical Therapy Assistant, Per Visit S9131-TF
Physical Therapy Assistant, Extended, Per Visit S29131-TF UC
Physical Therapy, Extended, Per Visit S9131-UC
Physical Therapy, Per Visit S9131
Respiratory Therapy, Extended, Per Visit S5181-UC
Respiratory Therapy, Per Visit S5181
Skilled Nurse Visit, LPN, Per Visit T1031
Skilled Nurse Visit, RN, Per Visit T1030
Speech Therapy, Per Visit S9128
Speech Therapy, Extended, Per Visit S9128 UC

Additional services might be subject to EVV. If DHS adds additional services that are subject to EVV, DHS will communicate these changes via eList and website updates.

 

WHEN do you need to do EVV?

All providers of services above should register for EVV and begin compliance immediately, which the exception of home health care providers which will be rolled out by the end of 2023.

 

HOW do I set up EVV?

A provider can set up their EVV compliance and account by registering HERE.

You have two options: 

  o Option 1 – Agencies currently without an EVV Solution: You may set up and use the free EVV tools from HHAeXchange provided by Minnesota DHS 

o Option 2– Providers who use a different EVV system: You may use your existing EVV system and send your visit data to the HHAeXchange system using electronic data interchange – HHAeXchange will then route visit data to Minnesota DHS  

 

Additional training and resources

-Free Provider training

https://www.cognitoforms.com/HHAeXchange1/FreePortalProviderTrainingRegistration

 

-Training Presentation

-Overview

https://mn.gov/dhs/partners-and-providers/news-initiatives-reports-workgroups/long-term-services-and-supports/evv/

*More information will be released as EVV is rolled out and develops in the future

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