Update – Electronic Visit Verification (EVV)
| Date: | December 28, 2023 |
| To: | Health Plan Personal Care Services (PCS) and Home Health Care Services (HHCS) Providers |
| Type: | Regulatory |
| Subject: | Update – Electronic Visit Verification (EVV) |
| Business: | Medi-Cal Managed Care |
This alert is to inform you of the following Electronic Visit Verification (EVV) changes effective January 1, 2024.
What is EVV?
EVV is a telephone and computer-based solution that electronically verifies when in-home service visits occur for Personal Care Services (PCS) and Home Health Care Services (HHCS). All EVV systems must electronically verify the following six visit data elements:
- Type of service performed
- Individual receiving the service
- Date of the service
- Location of service delivery
- Individual providing the services
- Time the service begins and ends
What is changing?
The services on California Electronic Visit Verification (CalEVV), the state’s EVV system, will be updated for the following programs:
- Multipurpose Senior Services Program (MSSP) 1915(c) Waivers
- Home Health Care Services (HHCS) – Managed Care Plan (MCP) and Fee-for Service (FFS)
- Home and Community-Based Alternatives (HCBA)
Providers who use CalEVV for the above programs, please visit the following link to access the updated service codes:
https://www.dhcs.ca.gov/provgovpart/Documents/EVV-Provider-Types-and-Codes-November.pdf
Why are these changes being made?
CalEVV has identified new services that will be added and services that will be removed from the EVV system effective January 1, 2024, to remain in compliance with federal and state requirements.
What are the impacts?
- Provider office staff will update their client-payer records prior to service delivery.
- New Healthcare Common Procedure Coding System (HCPCS) codes for MSSP, HCBA and Home Health Agency (HHA) services will be added.
- Caregivers logging visits for these programs using CalEVV will choose the new services starting January 1, 2024.
- The existing MSSP Z codes will be removed and replaced with new HCPCS
codes and units.Provider Actions: - Review new services and verify if new services impact their agency.
- Providers will need to update the client payer section for each impacted
member/client in CalEVV with the new services.Contacts and Resources:
For general information and updates about the CalEVV program, please visit
these California Department EVV websites: - https://www.dhcs.ca.gov/provgovpart/Pages/EVV.aspx
- https://www.dds.ca.gov/services/evv/
If you have any further questions, please contact your Provider Services Representative, or call our Customer Service Department at 1-888-936-PLAN (7526). You may also visit https://www.hpsj.com/alerts/ for online access to the documents shared. The most recent information about Health Plan of San Joaquin and our services is always available on our website https://www.hpsj.com/