Update on Electronic Visit Verification Action Items
This update provides a detailed overview of the progress made in electronic visit verification, including updates on authorization file layouts, technical reviews, training efforts, and coordination with MCOs. Discussions on communication plans, single source clearinghouses, system implementation dates, Medicare services, and coordination of benefits are highlighted. The aim is to ensure comprehensive quality healthcare provision across Arizona.
Download Presentation
Please find below an Image/Link to download the presentation.
The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author. Download presentation by click this link. If you encounter any issues during the download, it is possible that the publisher has removed the file from their server.
E N D
Presentation Transcript
Electronic Visit Verification Status Update 02/27/2020
Update on EVV Action Items Provide updated Authorization File Layouts Authorization file layout originally provided on 1/21 Biweekly technical Review calls started on 2/6 Claims Validation file layout provided on 2/7 Create document to outline parameters for the medical necessity determination date DRAFT document provided on 01/28/2020 Combine MCO training efforts with the AHCCCS/Sandata Training Plan AHCCCS is working to create a unified self authorization portal where all EVV authorizations will be entered. o o o o o Reaching across Arizona to provide comprehensive quality health care for those in need 2
Update on EVV Action Items Schedule meeting with MCO s to discuss the Communication Plan o Meeting scheduled: March 4, 2020 @ 12:00 PM MST Work with Sandata to identify a single source clearinghouse o AHCCCS is still coordinating with Sandata to understand if this we can accommodate this suggestion. ETA = TBD Work with Sandata to identify a hard start date for providers to initiate the use of the system. o AHCCCS is still coordinating with Sandata to understand if this we can accommodate this suggestion. ETA = TBD Reaching across Arizona to provide comprehensive quality health care for those in need 3
Update on EVV Action Items Consider revisions to the FFS EVV portal so that it can be used by all MCO s o Discussed during MCO bi-weekly Technical Review sessions and will be moving forward on the centralized option; Additional information will be shared in ongoing MCO Technical communications and workgroups EVV scenario where member is dually covered. How will authorization work for members with the same MCO for both Medicare and Medicaid and different MCOs? Will be discussed during MCO Technical workgroup sessions EVV Coordination of Benefits scenario. Is EVV required for Medicare Services? What if the primary insurance does not require EVV Authorization? o Will be discussed during MCO Technical workgroup sessions o Reaching across Arizona to provide comprehensive quality health care for those in need 4
Update on EVV Action Items Discuss the possibility of MCOs collaborating to align which services will require PA and which services do not o To be discussed during MCO Technical workgroup sessions Reaching across Arizona to provide comprehensive quality health care for those in need 5
Thank You. Reaching across Arizona to provide comprehensive quality health care for those in need 6
