EVV Go-Live Memo

Per DHHS, the go-live date/time for LME/MCO providers is September 1, 2021 at 12:01am. 

*This applies to dates of service, not claim dates.

EVV Compliance

The 21st Century Cures Act requires states begin using an Electronic Visit Verification (EVV) system for Personal Care Services that require an in-home visit and Home Health Care Services. Please see list below of services that must meet EVV Compliance.

At this time ALL EVV Providers must have their EVV Systems fully set up.

Beginning on September 1, 12:01am, claims for these particular services must be submitted with EVV data for providers to be reimbursed. Should a provider not EVV Compliant, all EVV Claims will deny.

Alliance Support Desk

Over the past year, Alliance has partnered with HHA Exchange to provide EVV Systems setup and technical support to providers. As we go live, should your agency have claims issues related to EVV or in need of technical support from Alliance, please e-mail  [email protected] directly.

Please note, should Alliance receive a high volume of queries, your query will be triaged and answered in the order of your request.

HHAeX Support Desk

Should you have questions around your agency’s HHAeX Portal please e-mail [email protected]. If your agency is using a third-party vendor, please e-mail [email protected].

T2012 Codes And Provider Contracts

.Services that are provided by live-in caregivers (RAP) or provided entirely in the community (rather than beginning or ending at the beneficiary home) are NOT subject to EVV and will be billed through ACS, with providers’ current billing process.

In order to distinguish services that do not require EVV, DHB has established new T2012 codes for those situations. Providers do not need to request T2012 codes be added to their contracts.  T2012 Codes will be automatically added to Provider Contracts and you will not receive an amendment- this announcement constitutes your notification of these codes being part of your contract, as cross walked here in this “Alliance Health’s EVV Provider Contract Additions, Service Matrix Grid”, effective September 1, 2021.

Click here to view Alliance’s EVV Provider Contract Additions, Service Matrix Grid.

Authorizations

Under EVV, in order to authorize Community Living and Support (CST) and Life Skills Training (LST) services (so they are flexible and meet the needs of each individual) all existing authorizations for CLS and LST will be converted from specific codes to “ALL SERVICES” authorizations. This will allow providers to bill the applicable code for each person depending upon how the service is delivered.

Providers will receive authorizations through HHA/EVV system for the entire authorization amount. The provider authorization in their EVV platform will not reflect units billed directly to ACS in Non-EVV situations.

Multiple service codes may be found for a given authorization that correspond to the same service. Again, providers will be submitting claims under the codes that correspond to how the service was provided specific to the shift.

Alliance Health All Codes

Member ISPs

ISP Goals will not state a specific code for Community Living and Supports, Life Skills Training, or Personal Care, but should specify Individual, Group, or Enhanced Program. Providers should provide services based on the type and frequency of services ordered in the ISP.

For More Information

Please visit Alliance Health’s EVV Landing Page https://www.alliancehealthplan.org/providers/electronic-visit-verification-evv/. Please send questions to [email protected].