Michigan Medicaid Electronic Visit Verification (EVV) Solutions

How to Stay EVV Compliant in Michigan

Staying EVV compliant in Michigan involves understanding the transition to the Open Vendor Model Electronic Visit Verification (EVV) system, facilitated by HHAeXchange. This model offers agencies the flexibility to use Michigan's state-selected EVV application or to integrate their own solutions with HHAeXchange for efficient data capture and reporting. Providers must stay informed about updates, available resources, and integration requirements to ensure compliance and fully benefit from the flexibility of the open model system. Regularly checking the Michigan Department of Health and Human Services (MDHHS) EVV webpage and HHAeXchange platforms for new information is crucial for staying compliant and effectively leveraging EVV. 

To enhance compliance efforts in Michigan, providers have the option to use the EVV system provided by HHAeXchange or integrate their existing systems through Electronic Data Interchange (EDI), adhering to the guidelines of the open model EVV system. This flexibility supports customized workflows, which are essential for seamless operation and compliance. Key steps include completing the HHAeXchange Provider Onboarding Form for integration and selecting the preferred EVV method based on agency needs. 

Benefits of CareTime Software for Michigan EVV 

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

CareTime EVV Features for Michigan

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

Frequently Asked Questions (FAQs) about Michigan 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 Michigan? 

Michigan 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 Michigan's EVV requirements? 

In Michigan, services covered under EVV include personal care, home health care, and other Medicaid-funded Home Care services. These encompass a range of services designed to assist individuals with daily living activities and medical needs at home. 

What is the deadline for compliance with EVV in Michigan? 

For Michigan Medicaid providers, the compliance deadlines for implementing EVV are staggered: 

April 1, 2024: Home Health Fee-for-Service (FFS) providers must begin using EVV. 

July 1, 2024: Home Help Agency Providers are required to implement EVV. 

September 3, 2024: Behavioral Health, Community Transition Services, MI Choice Waiver, MI Health Link, and Medicaid Managed Care Home Health Care Services must comply with EVV requirements. 

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

Providers in Michigan who fail to comply with EVV requirements may face several penalties, including the potential loss of funding or other sanctions imposed by Michigan Medicaid. Non-compliance could lead to denied claims and may impact the provider’s ability to operate within the Medicaid program. 

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

Providers looking for detailed information about Michigan’s EVV requirements should visit the Michigan Department of Health and Human Services (MDHHS) website or contact the state’s Medicaid office directly. The MDHHS website provides comprehensive resources, including guidelines, provider onboarding forms, and contact information for further assistance. 

Home Care Staff Screening & Training Requirements in Michigan

In Michigan, the screening and training requirements for home care staff are tailored to the specific roles within the sector. Direct care professionals such as home health aides are typically not required to have formal education but must complete comprehensive on-the-job training. Certain positions may require specialized training programs and certifications, such as those for Certified Nurse Aides (CNAs), who are enabled to perform a wider array of duties if they keep their certification active through ongoing employment. 

Common prerequisites for employment in Michigan’s home care sector include thorough background checks, tuberculosis (TB) tests, and drug screenings. A high school diploma or GED is also generally required for state employment. Moreover, Michigan emphasizes professional development for caregivers, with specific training protocols designed to ensure that care providers can offer high-quality service and comply with state regulations. 

Michigan Home Care Facts 

1. Michigan 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 Michigan is approximately $5,529. This is higher than the national average. 
3. Home care services covered under Michigan's EVV requirements include personal care, home health care, and other Medicaid-funded services. These services are closely monitored to ensure compliance with both state and federal regulations. 
4. Michigan offers a choice between using the state's designated EVV system, provided by HHAeXchange, 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 Michigan. The state is proactive in offering comprehensive training and resources to help home care providers effectively transition to and navigate the EVV system.