Home Health Services Electronic Visit Verification (EVV)
NEW VENDOR EFFECTIVE 10/01/2024
As a result of a recent competitive procurement, the Agency has contracted with HHAeXchange as our EVV vendor to offer a system to fee-for-service (FFS) providers at no cost. Go-live of the HHAeXchange EVV system for FFS providers is October 1, 2024. The new HHAeXchange EVV system will be used by providers to continue to record in-home visits to Florida Medicaid FFS recipients and will verify the type of service performed, the date, time, and location of the service, including the person receiving and the person providing the service, in compliance with Section 12006(a) of the 21st Century Cures Act.
This change is for FFS only. Any arrangements you have a managed care provider stay the same.
As many HH providers are aware, the Agency uses an “Open Vendor Model.” The “Open Vendor Model” allows providers to use the state’s EVV system, in this case, HHAeXchange, at no cost, or use another EVV (third-party) system of their choosing that integrates with the state’s EVV system. Providers who elect to use a third-party EVV system will still be required to have an HHAeXchange portal.
Next Steps for Providers
1. Complete HHAeXchange Registration Process
If you have not already done so, complete the HHAeXchange Provider Agency Registration Form. This form must be completed to ensure your Medicaid IDs are configured in your HHAeXchange portal correctly.
Note: If you already have an account, be sure to select “yes” to the second question on the first screen.
2. Take Advantage of HHAeXchange Information and Training Sessions
Past general information session recordings and slides are posted at https://www.hhaexchange.com/info-hub/florida. You can also find information on detailed trainings on how to use the HHAeXchange system.
3. Watch for communications directly from HHAeXchange
Contact Information and Other Resources
The HHAeXchange and the Agency will continue to provide updates, communications, training, and resources throughout the transition period as they become available.
HHAeXchange
For more information visit the Florida Information Centner at https://www.hhaexchange.com/info-hub/florida. You may also contact HHAeXchange by calling toll-free 1-646-821-8646 or via the Client Support Portal at https://hhaexchange.com/supportrequest.
AHCA
For questions that are not related to EVV (e.g., EDI support, claims submissions, provider enrollment) please contact the Agency by calling 1-800-289-7799 or visit Provider Services on the Florida Medicaid Web Portal.
Current State
Section 409.9132, Florida Statutes (F.S.), directs the Agency for Health Care Administration (Agency) to competitively procure a Vendor to operate an Electronic Visit Verification (EVV) Program of home health services provided through the fee-for-service delivery system. The EVV Program must verify the utilization and delivery of home health services (home health visits, private duty nursing, and personal care services) using technology that is effective for identifying the delivery of the service and deterring fraudulent or abusive billing for the service. Also, the EVV Program must provide an electronic billing interface and require the electronic submission of claims for home health services.
The Agency has contracted with Netsmart Technologies (Vendor) to provide EVV of home health services using the AHCA EVV System (Smart Phone Mobile Application, Dashboard, and Claims Portal).
Home health agency providers who render services through the fee-for-service delivery system must register and create an EVV Dashboard profile for their home health agency in the AHCA EVV system to be able to schedule services or submit claims for reimbursement. Providers may create one initial EVV System Administrator account by going to the EVV Registration page.
Fee-for-service home health providers and caregivers are encouraged to visit the AHCA EVV website for training materials: https://mobilecaregiverplus.com/training/. Providers may also request one-on-one technical assistance and training by contacting the AHCA EVV Customer Support Line toll-free at 1-833-AHCA-EVV (1-833-2422-388) or online at netsmartconnect.com. The training materials will cover functionalities of the AHCA EVV system including:
- How to schedule services using the AHCA EVV Dashboard
- Checking in and out using the AHCA EVV Smart Phone Mobile Application
- Billing for services rendered using the AHCA EVV Claims Portal
The AHCA EVV System may allow the use of EVV third-party integration for approved integrative systems. Third-party integration means that home health providers who have an EVV system may continue to use it to capture and send EVV data to the EVV Claims system for billing. Providers who are interested in EVV third-party integration should contact the AHCA EVV Customer Support Line toll-free at 1-833-AHCA-EVV (1-833-2422-388) or online at netsmartconnect.com.
