IHCP announces policy updates for the implementation of electronic visit verification
The 21st Century Cures Act directs state Medicaid programs to require
personal care service and home health service providers to use an electronic
visit verification (EVV) system to document the services rendered. See Indiana
Health Coverage Programs (IHCP) Bulletin BT201855 for more information.
Good faith exemption
After receiving input from our provider community, the Indiana Family and
Social Services Administration (FSSA) will be submitting a good faith
exemption request to the Centers for Medicare & Medicaid Services (CMS) regarding EVV. This exemption will allow
FSSA additional time to work collaboratively with the provider community and individuals impacted to ensure a
successful implementation of the EVV requirement for personal care services by January 1, 2021 (rather than
January 1, 2020). This request will also extend the soft launch period for EVV implementation from September 1, 2019
through December 31, 2020. There will not be a delay in overall implementation; during this extended soft
launch period, providers will have the opportunity to become more familiar with EVV requirements as well as train staff
on the system of their choice. Providers will see no disruption in payment for their personal care services, regardless of
the presence of an EVV record, until January 1, 2021. However, effective January 1, 2021, providers that have not
begun to use an EVV system when submitting claims for personal care services will see disruption in payment.
While the State is pursuing extra time for providers to prepare for the federal EVV requirement, providers are still
strongly encouraged to continue taking steps now to be ready for January 1, 2021. Providers need to make a
determination as to whether they would like to use the State’s EVV solution, Sandata, or an alternate EVV solution:
Providers that would like to use Sandata’s system are strongly encouraged to pursue one of the training
opportunities scheduled between September and December 2019. For a complete list of all train-the-trainer
sessions that are scheduled throughout the state, see IHCP Bulletin BT201945. For a complete checklist and
timeline of activities for providers using the Sandata EVV system, see IHCP Bulletin BT201942.
Providers that would like to use an alternate EVV system need to begin the process of integrating their EVV system
with Sandata’s. The process of testing an alternate EVV vendor for each provider can take several weeks to
complete, so it is critical for providers to begin this process as soon as possible.
For a complete checklist and
timeline of activities for providers using an alternate EVV system, see IHCP Bulletin BT201946.