Indiana Medicaid Electronic Visit Verification (EVV) Solutions

Indiana

CareTime's comprehensive Home Care software is designed to streamline your billing processes and ensure your agency meets Indiana 's Medicaid Billing and EVV compliance.

Indiana EVV Compliance Overview

  • EVV Model: Open Model
  • Aggregator: Sandata
  • CareTime EVV Solution: Available

How to stay EVV compliant in Indiana

Maintaining EVV compliance in Indiana requires an understanding of the state's specific requirements and the available EVV systems. Indiana 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 Indiana 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 Indiana Family and Social Services Administration (FSSA) provides resources and guidelines to help providers navigate the EVV implementation process. Providers should regularly visit the FSSA EVV webpage and consult the official documentation provided by FSSA 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 Indiana EVV

The CareTime V3 software revolutionizes Indiana '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 claim 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 Indiana 's Home Care providers.

CareTime EVV Features for Indiana

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

Frequently Asked Questions (FAQs) about Indiana 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 Indiana?

Indiana 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 Indiana 's EVV requirements?

Services covered by EVV in Indiana 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 Indiana 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 Indiana ?

Providers in Indiana are 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 Indiana 's EVV requirements?

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

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

For detailed information about EVV requirements in Indiana , providers should visit the Indiana Department of Health and Welfare (DHW) website or contact the state’s Medicaid office directly.

Indiana Home Care Facts

EVV System Implementation: Indiana 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.

  1. EVV System Implementation: Indiana 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 Indiana is approximately $4,500, depending on the specific services and region.
  3. Services Covered: Home Care services covered under Indiana'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: Indiana 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.
  5. Mandatory Compliance: Compliance with EVV standards is mandatory for providers to continue receiving Medicaid funding in Indiana.
  6. Support and Training: The state offers training and resources to help Home Care providers transition to and effectively use the EVV system.