Kentucky Medicaid Electronic Visit Verification (EVV) Solutions

Kentucky

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

Kentucky EVV Compliance Overview

  • EVV Model: Closed Model
  • Aggregator: Therap and Netsmart
  • CareTime EVV Solution: Available

How to stay EVV compliant in Kentucky

Maintaining EVV compliance in Kentucky requires understanding the state's specific requirements and the available EVV systems. Kentucky 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 Kentucky must use the state's designated EVV system, Therap or Netsmart, or integrate their own solutions with the state-approved data aggregator to ensure accurate data capture and reporting.

The Kentucky Cabinet for Health and Family Services (CHFS) provides resources and guidelines to help providers navigate the EVV implementation process. Providers should regularly visit the CHFS EVV webpage and consult the official documentation provided by CHFS 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 Kentucky EVV

The CareTime V3 software revolutionizes Kentucky'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 Kentucky's Home Care providers.

CareTime EVV Features for Kentucky

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

Frequently Asked Questions (FAQs) about Kentucky 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 Kentucky?

Kentucky 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 Kentucky's EVV requirements?

Services covered by EVV in Kentucky 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), home health services, behavioral therapy, homemaker services, occupational therapy, severe emotional disturbance (SED) PCS, physical therapy, private duty nursing, respite care, and speech therapy. EVV requirements in Kentucky 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 Kentucky?

Providers in Kentucky 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 Kentucky's EVV requirements?

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

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

For detailed information about EVV requirements in Kentucky, providers should visit the Kentucky Cabinet for Health and Family Services (CHFS) website or contact the state’s Medicaid office directly.

Kentucky Home Care Facts

EVV System Implementation: Kentucky 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: Kentucky 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 Kentucky is approximately $4,290, depending on the specific services and region.
  3. Services Covered: Home Care services covered under Kentucky's EVV requirements include personal care services (PCS), home health services, behavioral therapy, homemaker services, occupational therapy, severe emotional disturbance (SED) PCS, physical therapy, private duty nursing, respite care, and speech therapy, monitored to ensure compliance with state and federal regulations.
  4. System Flexibility: Kentucky allows providers to use the state's designated EVV system, Tellus, and is currently working on approving third-party vendors. Approved third-party systems will need to integrate with the state’s aggregator.