Provider Update: July 19, 2016
Electronic Visit Verification (EVV) Transition Preparedness
The final date that authorizations will be transmitted to Sandata for processing will be July 21, 2016. Authorizations will be transmitted to First Data for processing in the AuthentiCare system beginning July 22, 2016. This will allow First Data time for testing to occur prior to the 'Go-live' date. Billing will begin to be submitted from the AuthentiCare system to OHCA for adjudication on 08/01/2016. The 'Go-live' date for AuthentiCare is 08/01/2016. Ahead of the "Go-Live" date you should be expecting several communications from MSU and First Data.
Providers should continually purge the Sandata system, ahead of the cross-over to the AuthentiCare system. The only billing that should exist in Sandata should be current billing and claims only. Please confirm all 'billing for export' to the greatest extent possible, because this data will be transferred to First Data to submit to OHCA for adjudication. Billing ready for submission is fully processed billing, which means that there are no remaining exceptions that would otherwise prohibit claims submission. The objective is to clear the Sandata system of all invoicing 'not ready to bill', however, there may be instances there are associated exceptions that prohibit claims submission. MSU will receive data files of all 'unworked claims', incomplete claims that have not been confirmed for billing, that remain in the Sandata system and are not fully processed and these records will be accessible to providers. Archived data may not be immediately accessible at the point of transition, which is why providers should clear all unworked claims from the Sandata system.
If you have any questions regarding the information provided in this bulletin, please feel free to contact us via Smarter Mail at: firstname.lastname@example.org