Missouri Medicaid Electronic Visit Verification (EVV) Solutions

How to Stay EVV Compliant in Missouri

Staying EVV compliant in Missouri involves understanding the transition to the Electronic Visit Verification (EVV) system, facilitated by Sandata Technologies. This transition provides agencies with the flexibility to use Missouri's chosen EVV system or to integrate their own solutions with the EVV Aggregator Solution (EAS) for effective data capture and reporting. Providers must stay informed about updates, available resources, and integration requirements to ensure compliance and fully benefit from the open model system. Regularly checking the Missouri Medicaid website and Sandata's platforms for new information is crucial for maintaining compliance and effectively leveraging EVV. 

To enhance compliance efforts in Missouri, providers have the option to utilize the EVV system provided by Sandata or integrate their own systems via EDI, adhering to the guidelines of the open model EVV system. This flexibility supports customized workflows, which are essential for smooth operation and compliance. Key steps include completing the Missouri EVV Vendor Registration and selecting the preferred EVV system. 

Benefits of CareTime Software for Missouri EVV 

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

CareTime EVV Features for Missouri

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

Frequently Asked Questions (FAQs) about Missouri 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 Missouri? 

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

What types of services are covered under Missouri's EVV requirements? 

Services under EVV in Missouri include personal care, home health care, and other Medicaid-funded Home Care services like nursing, physical therapy, occupational therapy, personal care aide services, and speech therapy. 

What is the deadline for compliance with EVV in Missouri? 

Providers must comply with EVV requirements by specific program deadlines set by Missouri Medicaid. These are staged according to service type, with full compliance required no later than September 3, 2024.  

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

Non-compliance may result in penalties, including potential loss of funding or other sanctions from Missouri Medicaid. 

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

For detailed information, providers should visit the Missouri Medicaid website or contact the state’s Medicaid office. Further guidance is available through provider bulletins and direct communications from Missouri Medicaid. 

Home Care Staff Screening & Training Requirements in Missouri

In Missouri, the requirements for screening and training home care staff vary depending on their specific roles. Direct care professionals, such as home health aides, might not require formal education but are generally expected to receive substantial on-the-job training. For more specialized roles, specific training programs and certifications are necessary. For example, positions like Certified Nurse Aides (CNAs) require certification and provide a broader scope of permitted activities, assuming their certification is actively maintained. 

Common prerequisites for employment in Missouri's home care sector include thorough background checks, TB tests, and drug screenings. Additionally, a high school diploma or GED is typically required for state employment in this field. Missouri's focus on rigorous training and certification ensures that caregivers are well-prepared to provide competent and compliant care in various home care settings. 

Missouri Home Care Facts 

1. Missouri utilizes an Electronic Visit Verification (EVV) system for Medicaid-funded home care services to ensure accurate billing and to minimize fraud. 
2. The average monthly cost for in-home care in Missouri is $4,767, reflecting its lower than average cost of living compared to national rates. 
3. Home care services encompassed by Missouri's EVV requirements include personal care, home health care, and other Medicaid-funded services. 
4. Providers in Missouri can choose between using the state's designated EVV system or an approved third-party system for service verification, offering flexibility in compliance. 
5. Adhering to EVV standards is essential for providers to maintain their eligibility for Medicaid funding. 
6. Missouri also offers comprehensive training and resources to assist home care providers in adapting to and efficiently using the EVV system.