Insight Center

What Every Florida Provider Can Do To Comply with the Electronic Visit Verification (EVV) Mandate

As a Provider of personal care services and/or health care services in the state of Florida, you’ve been made aware of the Federal Electronic Visit Verification (EVV) mandate starting on January 1st, 2021. In preparation for the January 1st deadline, the Agency for Health Care Administration (AHCA) has set minimum compliance thresholds to gradually improve compliance with the EVV requirement that claims are not denied. According to the Agency, Providers were required to submit a minimum of 70% of their claims through the Statewide Medicaid Managed Care (SMMC) EVV system by November 1, 2020 and 80% of claims as of December 1, 20201*.


We’ve heard from many of you and know you’re preparing for the mandate; however, AHCA recently released a report that the percent of total providers utilizing the Statewide Medicaid Managed Care EVV system for submission of claims is far lower than mandated levels*.


And, most importantly, as of December 4, 2020, managed care plans are required to deny claims from providers who submit less than 25% of their claims through the contracted managed care plan’s EVV system**.


Whether you or your Provider agency has achieved 25% or 80% compliance, there is opportunity to improve compliance to 100%. We know this is a lot of work to get compliant so we’ve provided some simple steps to help:


  1. Secure a single-purpose EVV smartphone for you and/or your Provider group to verify visits.

  2. If you are contracted with a Managed Care Organization (MCO), determine the MCO’s choice EVV software.

  3. Download the MCO-choice EVV software mobile application (if contracted) or your best-fit EVV software mobile application (MCO or State-contracted) from the LINK Marketplace on the LINK Device.

  4. Start electronically verifying visits for all personal care services (PCS) ASAP.

Understanding and securing EVV technology is just as important as the method in which providers will verify visits. While you and your providers can use your own cellular device, a LINK smartphone is a more secure option that separates your personal phone from business activities, all at a cost-effective price.


Sources:

*https://ahca.myflorida.com/Medicaid/pdffiles/provider_alerts/2020_08/EVV_Parameters_SMMC_082020.pdf

**https://ahca.myflorida.com/Medicaid/statewide_mc/pdf/2018-23_plan_comm/PT_2020-62_EVV_Requirements_11.20.2020.pdf

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