Skip to main content

Electronic Visit Verification

ADvantage EVV

10/22/2019 - ADvantage EVV System Utilization Guidelines Updated
10/4/2019 – New FMS/EVV Vendor Announced for ADvantage CD-PASS Service Option
10/1/2019 - ADvantage EVV Updated Training Info (Coming Soon)
10/1/2019 - FMS EVV for CD-PASS Members Training Info (Coming Soon)
08/1/2019 -Electronic Visit Verification Mandate – 21st Century Cures Act Section 12006
States must require EVV use for all *Medicaid-funded PCS by January 1, 2020, and Home Health by January 1, 2023. Otherwise, the state is subject to incremental Federal Medicaid Assistance Percentage (FMAP) reductions up to 1 percent unless the state has both made a “good faith effort” to comply and has encountered “unavoidable delays."  

*Includes ADvantage, SPPC, and CD-PASS Options

Recent ADvantage Bulletin EVV Archive:
ADvantage EVV System Utilization
10/4 CD-PASS New Fiscal Management Service (FMS) andCures Act EVV Compliance Deadline
5/20 Critical Exceptions and Claim Denials in AuthentiCare
Click here

State EVV Policy as it relates to the ADvantage Program:

Federal Medicaid EVV Policy as it relates to the ADvantage Program:

What type of EVV system must be used?

A: Section 12006(c)(2) provides that section 1903(l) cannot be construed to require the use of a particular or uniform EVV system. However, section 1903(l)(5)(A) provides that the system must be able to electronically verify, with respect to visits conducted as part of personal care services or home health care services, the following:

1) the type of service performed;

2) the individual receiving the service;

3) the date of the service;

4) the location of service delivery;

5) the individual providing the service; and

6) the time the service begins and ends

For more on the 21st Century CURES Act, click here.

Electronic Visit Verification

In order to be compliant with the 21st Century Cures Act, improve patient care, reduce costs, minimize fraud, waste and abuse and retain funding Oklahoma uses AuthentiCare®

EVV features include:

  • Vendor agnostic data aggregator capabilities
  • Interactive voice response (IVR)
  • Smartphone app for Electronic Visit Verification
  • Ability to capture worker's location & service time
  • Interface to DXC & other MMIS systems
  • Data integration with SMS systems
  • Voice biometrics
  • Automated claims & billing (837 & 835)
  • Integrated scheduler with real-time alerts for missed visits
  • Ability to adapt to a variety of services
  • Data scoping with configurable access & views
  • Web services & batch processing options
  • Interactive provider dashboards
  • Flexible reporting to assist in payroll processing

AuthentiCare delivers critical benefits, such as:

  • Centralized, real-time monitoring & comprehensive reporting on services provided & patient conditions for service level transparency
  • Ability to adjust care plans to improve care & promote better patient outcomes
  • Use of EVV data to identify delivery issues & make care delivery more efficient
  • Freeing up home care providers from time-consuming, error-prone paper processes
  • Helping you comply with the record keeping requirements of the Fair Labor Standards Act
  • Improving program integrity & higher quality of services
  • Driving operational efficiencies
  • Improving risk management & fraud protection
  • Flexible, scalable, secure, HIPAA compliant automated claims submission & billing
  • Proactive prevention of improper payments
Back to Top