Request for Information (RFI)

Ohio Medicaid Electronic Visit Verification Program

Feedback from Individuals and Providers

April 20, 2021

 

Section 1 – Introduction

The Ohio Department of Medicaid (ODM) is planning to conduct a competitive procurement for electronic visit verification (EVV) services.  In preparation, ODM is interested in hearing from individuals and providers about their experience with the current EVV program and about their ideas for improving individual and provider experience with EVV.

Through this Request For Information (RFI), ODM is seeking responses specifically from individuals who are receiving Medicaid services subject to EVV requirements (individuals) and their families, advocates for individuals, providers, provider associations, partner state agencies, and other persons or organizations with relevant information about Ohio’s EVV program.

Overview of Ohio’s Electronic Visit Verification Program

The 21st Century Cures Act requires state Medicaid programs to implement EVV for home health and personal care services.  Failure to do so can result in reduced federal funding for those services.

The EVV solution is required to capture the following information:

  • The individual receiving services
  • The person providing services
  • The date and time of service
  • The service provided
  • The location where services was provided

Ohio’s EVV solution currently documents approximately 1.4 million visits each month.  These visits reflect services received by approximately 150,000 individuals from more than 200,000 caregivers and approximately 8,000 providers. These numbers represent countless hours devoted to helping others live safely and securely at home and in their communities.  Individuals living at home can receive medical care where they live or work and get help with things like bathing, meal preparation and grocery shopping.  

 Services subject to EVV requirements are reimbursed directly by ODM, the Ohio Department of Aging (PASSPORT waiver), the Ohio Department of Developmental Disabilities (Individual Options, Level One and SELF waivers), and the managed care organizations which contract with ODM.

Ohio contracted with Sandata Technologies, LLC for an EVV system that is provided at no cost to individuals receiving impacted services or the providers of those services.  Agency providers can choose to use an alternate EVV system for purposes of data collection at their own expense.

Section II – Request for Information

ODM is asking for your input and suggestions by completing the following survey: