How to Stay EVV Compliant in Arizona
Maintaining EVV compliance in Arizona requires an understanding of the transition to the Open Model Electronic Visit Verification (EVV) system, facilitated by Sandata. This change allows agencies to either use the state's designated EVV application or integrate their own solutions with the state-approved data aggregator for efficient data capture and reporting. Providers must stay informed about updates, resources, and integration requirements to ensure compliance and fully benefit from the flexibility of the open model system. It is essential for providers to regularly check the Arizona Health Care Cost Containment System (AHCCCS) EVV webpage and Sandata's platforms for the latest information to remain compliant and effectively leverage EVV capabilities.
To enhance compliance efforts in Arizona, providers have the option to utilize the EVV system provided by Sandata or integrate their own systems via API, adhering to the guidelines of the open model EVV system. This flexibility allows for customized workflows, which are crucial for smooth operation and compliance. Key steps include completing the Arizona Medicaid Provider Survey for onboarding and selecting the preferred EVV method.
Benefits of CareTime Software for Arizona EVV
The CareTime V3 software revolutionizes Arizona's EVV compliance and billing processes, offering unprecedented automation and efficiency. Key features include "Billing While You Sleep," which automates healthcare claims submission based on your set preferences, significantly reducing administrative workload.
The automated rules engine streamlines claims management by pre-setting rules specific to each payor, preventing declines before they happen. Additionally, the comprehensive dashboard gives a unified view of EVV and claims data, ensuring you're informed and in control. This level of automation and simplicity significantly enhances operational efficiency for Arizona's home care providers.
CareTime EVV Features for Arizona
For Arizona, CareTime's EVV system offers advanced features to ensure compliance and streamline operations. These include automated billing, an innovative rules engine for customized payor management, and a comprehensive dashboard for a clear view of EVV and claims data. This functionality simplifies the management process, making it easier for agencies to stay compliant with Arizona's EVV requirements while enhancing operational efficiency.
Frequently Asked Questions (FAQs) about Arizona Home Care EVV System
What is Electronic Visit Verification (EVV)?
EVV is a technology system used to confirm that Home Care services are actually delivered, recording the time, location, and specifics of the service provided.
Why is EVV required in Arizona?
Arizona requires EVV to ensure the accuracy of billing for Medicaid-funded Home Care services, enhancing transparency and fraud reduction.
What types of services are covered under Arizona's EVV requirements?
Services covered by EVV in Arizona include personal care, home health care, and other Medicaid-funded Home Care services such as attendant care, homemaker/housekeeping, and habilitation hourly services.
What is the deadline for compliance with EVV in Alaska?
Providers were required to comply with EVV requirements by March 31, 2021, as mandated by Arizona Medicaid, following an extension approved due to administrative and COVID-19 related challenges.
What happens if a provider does not comply with Arizona's EVV requirements?
Non-compliance with Arizona’s EVV requirements can lead to penalties, including the potential loss of Medicaid funding and other sanctions imposed by Arizona Medicaid.
Where can I find more information about Arizona's EVV requirements?
For detailed information about EVV requirements in Arizona, providers should visit the Arizona Health Care Cost Containment System (AHCCCS) website or contact the state’s Medicaid office directly.
Home Care Staff Screening & Training Requirements in Arizona
In Arizona, the screening and training requirements for home care staff depend on their specific roles. Direct care professionals, such as home health aides, are not required to have formal education but typically receive on-the-job training. Certain positions might require specific training programs and certifications, such as the CPCT/A for patient care technicians. Home health aides who are Certified Nurse Aides (CNAs) can undertake a wider array of duties and must keep their certification active through continual employment.
Standard prerequisites for employment in this sector include background checks, TB tests, and drug screenings, along with a high school diploma or GED for state employment.
Arizona Home Care Facts
- Arizona utilizes an Electronic Visit Verification (EVV) system for Medicaid-funded home care services to ensure accurate billing and reduce fraud. This adoption is in compliance with a federal mandate aimed at bolstering the integrity of services offered in the state.
- The average monthly cost for in-home care in Arizona is around $4,000.
- Home care services covered under Arizona's EVV requirements include personal care, home health care, and other Medicaid-funded services. These services are closely monitored to ensure they adhere to both state and federal regulations.
- Arizona provides a choice between using the state's designated EVV system or an approved third-party system for service verification. This flexibility enables providers to choose a system that best aligns with their operational model.
- Compliance with EVV standards is mandatory for providers who wish to continue receiving Medicaid funding in Arizona. The state offers training and resources to assist home care providers in transitioning to and effectively utilizing the EVV system.
