EVV Alerts - All Therap Users (HHCS and 1915(c) HCBS)
- User Management: Provider administrators are required to audit and maintain their EVV users and assigned privileges within the Therap solution (if applicable) and the Therap Aggregator. Provider Administrators should review their agency user list and assigned user privileges every 90 days to ensure accuracy and update accordingly.
What Is Electronic Visit Verification?
Electronic visit verification (EVV) is an electronic system providers use to record information when delivering Personal Care Services (PCS), which includes certain in-home or community-based 1915(c) Home and Community Based Services (HCBS) or Home Health Care Services (HHCS). The use of EVV is a requirement of the
Cures Act passed by Congress in 2016.
EVV must electronically verify six aspects of service delivery: the date, location and type of service, the individual providing the service, the individual receiving the service and the start and end times of the service.
EVV offers several benefits such as eliminating the need for paper documentation, creating flexibility in scheduling and delivering services, improved monitoring of participant health, safety and welfare and reduction in potential Medicaid fraud, waste and abuse.
Guiding Principles of EVV
DMS believes EVV should:
- Simplify required documentation and reduce the administrative burden on Medicaid participants and providers.
- Improve Medicaid participant health, safety and welfare.
- Not reduce a Medicaid participant's services or alter chosen service delivery method.
- Be developed with input from all stakeholders.
- Include training for affected stakeholders.
- Bring Kentucky into compliance with federal law.
EVV for HHCS
DMS implemented EVV for HHCS in Kentucky on Jan. 1, 2024.
Effective Jan. 1, 2025,
any HHCS claim without a corresponding visit documented using EVV will be denied. The following provider types and service codes are required to use EVV when delivering in-home HHCS to Medicaid participants.
Provider Types
Services
- 410 - Respiratory Therapist - MIIW
- 552 - Registered Nurse - MIIW
- 559 - Licensed Practical Nurse - MIIW
- 550 - Skilled Nursing - Home Health
- 560 - Medical Social Services - Home Health
- 570 - Home Health Aide - Home Health
- T1000 - Private Duty / Independent Nursing - Private Duty Nursing
EVV PCS for 1915(c) HCBS Waivers
Traditional service provider agencies and financial management agencies (FMA) that bill certain
in-home or community-based services must have direct service providers or participant-directed services employees enter visit information via EVV. This applies to five of Kentucky's six 1915(c) HCBS waivers:
Acquired Brain Injury and Acquired Brain Injury Long Term Care,
Home- and Community-Based,
Michelle P. Waiver and
Supports for Community Living. Read the
Electronic Visit Verification - Affected Services document for a listing of services by waiver that must use EVV.
EVV Vendor
Providers have the option to use the state-sponsored EVV system or to use a third-party EVV system. Therap provides the state-sponsored system. It is available to providers at no cost. Providers that select a third-party system are responsible for all costs associated with it, ensuring their preferred systems meet the requirements of the
Cures Act and ensuring full integration with Therap to allow DMS to reimburse for rendered services and conduct waiver quality assurance activities.
Support
EVV System Support
If you have technical issues or questions about Therap EVV, please email Therap.
EVV Policy Questions
If you have policy questions about EVV, please use the appropriate contact below.
ABI, ABI LTC, MIIW, and HHCB providers
Call (844) 784-5614 or email the 1915(c) Waiver Help Desk
HCB providers or Participant Directed Services (all waivers)
Call (877) 315-0589 or email the Department for Aging and Independent Living
MPW or SCL
(502) 564-7700 or email the Department for Behavioral Health, Developmental and Intellectual Disabilities