How to Stay EVV Compliant in New York
Staying EVV compliant in New York requires understanding the transition to the Provider Choice Electronic Visit Verification (EVV) model, facilitated by multiple aggregators like CareBridge, EMedNY, and HHAeXchange-Aetna. This model provides agencies with the flexibility to choose their preferred EVV system or integrate their own solutions with the state-approved aggregators for effective data capture and reporting. Providers must stay updated on new developments, resources, and integration requirements to ensure compliance and fully benefit from the open model system. It is essential for providers to regularly check the New York Medicaid EVV webpage and their selected aggregator platforms for the latest information to maintain compliance and optimize the use of EVV capabilities.
To bolster compliance efforts in New York, providers have the option to use an EVV system provided by one of the state's designated aggregators or to integrate their own systems through open APIs, complying with the choice model's specifications. This flexibility supports customized workflows, critical for smooth operations and compliance. Key steps include completing the New York Medicaid Provider Survey for onboarding and selecting the most suitable EVV system that meets state and federal requirements.
Benefits of CareTime Software for New York EVV
The CareTime V3 software revolutionizes New York'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 New York's home care providers.
CareTime EVV Features for New York
For New York, 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 New York's EVV requirements while enhancing operational efficiency.
Frequently Asked Questions (FAQs) about New York 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?
New York 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 New York's EVV requirements?
Services under EVV include personal care, home health care, and other Medicaid-funded Home Care services.
What is the deadline for compliance with EVV in New York?
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 New York's EVV requirements?
Non-compliance may result in penalties, including potential loss of funding or other sanctions from New York Medicaid.
Where can I find more information about New York's EVV requirements?
For detailed information, providers should visit the New York State Department of Health website or contact the state’s Medicaid office.
Home Care Staff Screening & Training Requirements in New York
In New York, home care staff screening and training requirements are strictly regulated to ensure high standards of care. Direct care professionals, including home health aides (HHAs) and personal care aides (PCAs), are required to complete comprehensive training programs. HHAs must undergo a 75-hour training program, including 16 hours of supervised practical training, mandated by the New York State Department of Health. PCAs are required to complete a similar topic-specific 40-hour training program.
For certification, Certified Nurse Aides (CNAs) in New York must keep their registrations active by continually meeting employment and additional training requirements. Background checks, including fingerprinting, are mandatory for all home care staff. Additionally, tuberculosis (TB) tests and drug screenings are common prerequisites for employment in this sector, alongside at least a high school diploma or GED. These stringent measures ensure that all personnel are well-qualified and prepared to provide safe and effective care to clients.
New York Home Care Facts
- New York utilizes an Electronic Visit Verification (EVV) system for Medicaid-funded home care services to ensure billing accuracy and reduce potential fraud.
- The average monthly cost for in-home care in New York is $4,767.
- Home care services covered under New York's EVV requirements include personal care, home health care, and other Medicaid-funded Home Care services.
- New York supports a Provider Choice Model, offering agencies the flexibility to choose between the state's approved EVV systems—CareBridge, eMedNY, or HHAeXchange—or a compatible third-party system for service verification
- Adherence to EVV standards is essential for providers to maintain eligibility for Medicaid funding.
- The state provides comprehensive support and resources to assist home care providers in adapting to and efficiently using the EVV system.
