Georgia Medicaid Electronic Visit Verification (EVV) Solutions

How to Stay EVV Compliant in Georgia

Maintaining EVV compliance in Georgia requires understanding the transition to the Open Model Electronic Visit Verification (EVV) system, facilitated by NETSMART. This adaptation allows agencies to either utilize the state’s designated EVV application or integrate their own systems with the state-approved data aggregator for efficient data capture and reporting. It is essential for providers to stay informed about ongoing updates, available resources, and integration requirements to ensure compliance and fully benefit from the open model system. Regularly checking the Georgia Department of Community Health (DCH) EVV webpage and NETSMART’s platforms for the latest information is crucial to remain compliant and effectively utilize EVV capabilities.   

To enhance compliance efforts in Georgia, providers have the option to use the EVV system provided by NETSMART 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 Georgia Medicaid Provider Survey for onboarding and selecting the preferred EVV method. 

Benefits of CareTime Software for Georgia EVV 

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

CareTime EVV Features for Georgia

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

Frequently Asked Questions (FAQs) about Georgia 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 Georgia? 

Georgia 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 Georgia's EVV requirements? 

Services under EVV in Georgia include personal care, home health care, and other Medicaid-funded Home Care services. 

What is the deadline for compliance with EVV in Georgia? 

Providers were required to comply with EVV requirements by July 1, 2021, for Personal Care Services, with a phased approach leading to a final mandate for Home Health Care Services by January 1, 2023, as directed by the Georgia Department of Community Health (DCH). 

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

Non-compliance with Georgia’s EVV requirements may lead to penalties, including potential loss of funding or other sanctions from Georgia Medicaid. 

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

For detailed information, providers should visit the Georgia Department of Community Health (DCH) website or contact the state’s Medicaid office. 

Home Care Staff Screening & Training Requirements in Georgia

In Georgia, home care staff screening and training requirements vary significantly depending on the role. Direct care professionals such as Home Health Aides are required to undergo substantial training, which includes 75 hours of training with 16 hours of supervised practical training. This ensures that they are well-prepared to provide comprehensive care according to state regulations. 

For Personal Care Home staff, the training requirements include at least 24 hours of initial training, followed by 16 hours of annual ongoing education to maintain high standards of care and ensure compliance with ongoing regulatory changes. 

Standard prerequisites for employment in this sector also include comprehensive background checks, TB tests, and drug screenings, alongside a high school diploma or GED for state employment. These measures are designed to ensure that all caregivers meet the high standards expected in Georgia’s home care industry. 

Georgia Home Care Facts 

1. Georgia employs an Electronic Visit Verification (EVV) system for Medicaid-funded home care services to ensure accurate billing and reduce fraud. This implementation aligns with the requirements of the 21st Century Cures Act to enhance the integrity of home care services across the state.  
2. The average monthly cost for in-home care in Georgia is approximately $4,290 for in-home care and $4,385 for home health care. These costs reflect Georgia's commitment to providing affordable care, being substantially lower than the national average. 
3. Home care services covered under Georgia's EVV requirements include personal care, home health care, and other Medicaid-funded Home Care services. These services are diligently monitored to ensure adherence to state and federal regulations. 
4. Georgia offers a choice between using the state's designated EVV system, provided by Netsmart, or an approved third-party system for service verification. This open model allows providers to choose the system that best fits their operational needs while still meeting state compliance standards. 
5. Compliance with EVV standards is mandatory for providers to continue receiving Medicaid funding in Georgia. The state is proactive in offering comprehensive training and resources to help home care providers effectively transition to and navigate the EVV system.