Connecticut Medicaid Electronic Visit Verification (EVV) Solutions

How to stay EVV compliant in Connecticut

Maintaining EVV compliance in Connecticut requires an understanding of the state's specific requirements and the available EVV systems. Connecticut has implemented an EVV system to comply with the 21st Century Cures Act, which mandates the use of electronic visit verification for personal care and home health services. Providers in Connecticut can use the state's designated EVV system or integrate their own solutions with the state-approved data aggregator to ensure accurate data capture and reporting.

The Connecticut Department of Social Services (DSS) provides resources and guidelines to help providers navigate the EVV implementation process. Providers should regularly visit the DSS EVV webpage and consult the official documentation provided by DSS to stay updated on any changes or requirements. Staying informed about integration requirements, training materials, and compliance deadlines is essential for seamless operation and adherence to state mandates.

Benefits of CareTime Software for Connecticut EVV

The CareTime V3 software revolutionizes Connecticut'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 Connecticut's home care providers.

CareTime EVV Features for Connecticut

For Connecticut, 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 Connecticut's EVV requirements while enhancing operational efficiency.

Frequently Asked Questions (FAQs) about Connecticut 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 Connecticut?

Connecticut requires EVV to ensure the accuracy of billing for Medicaid-funded Home Care services, enhancing transparency and fraud reduction.

What type of services are covered under Connecticut's EVV requirements?

Services covered by EVV in Connecticut include personal care, home health care, and other Medicaid-funded Home Care services. This encompasses a variety of services such as personal care services (PCS) and home health services. EVV requirements in Connecticut ensure that all eligible services are accurately verified and documented to comply with state and federal regulations.

What is the deadline for compliance with EVV in Connecticut?

Providers in Connecticut were required to comply with EVV requirements by January 1, 2021, in accordance with the federal 21st Century Cures Act. This deadline ensures that all personal care and home health services funded by Medicaid are accurately verified and documented to maintain compliance with state and federal regulations.

What happens if a provider does not comply with Connecticut's EVV requirements?

Non-compliance with Connecticut’s EVV requirements can result in penalties, including the potential loss of Medicaid funding and other sanctions imposed by Connecticut Medicaid. Providers are required to adhere to Connecticut Medicaid's EVV policies to continue receiving reimbursements for services rendered.

Where can I find more information about Connecticut's EVV requirements?

For detailed information about EVV requirements in Connecticut, providers should visit the Connecticut Department of Social Services (DSS) website or contact the state’s Medicaid office directly

Home Care Staff Screening & Training Requirements in Connecticut

In Connecticut, home care staff must meet specific screening and training requirements to ensure high-quality care and client safety. Personal care aides and direct care professionals typically receive on-the-job training that includes client rights, emergency procedures, and personal care tasks. Certified Nurse Assistants (CNAs) are required to complete a state-approved training program, pass a competency exam, and maintain their certification through ongoing education and employment.

Home care aides must undergo a criminal background check and register with the Connecticut Department of Public Health (DPH). This registration process involves submitting an application, fingerprinting, and a background check. Registration is valid for two years, and aides must renew their registration to stay compliant.

Connecticut Home Care Facts

1. EVV System Implementation: Connecticut employs an Electronic Visit Verification (EVV) system for Medicaid-funded home care services to ensure accurate billing and reduce fraud, in compliance with a federal mandate
2. Cost of In-Home Care: The average monthly cost for in-home care in Connecticut is approximately $4,800, depending on the specific services and region
3. Services Covered: Home care services covered under Connecticut's EVV requirements include personal care services (PCS), home health services, and other Medicaid-funded services, monitored to ensure compliance with state and federal regulations
4. System Flexibility: Connecticut allows providers to use either the state's designated EVV system or an approved third-party system for service verification, providing flexibility to choose a system that best fits their operational needs.