Electronic Visit Verification Support in ReadyCert

Electronic Visit Verification (EVV) is part of Section 12006(a) of the 21st Century CURES Act

Section 12006(a) of the 21st Century Cures Act  mandates that states implement EVV for all Medicaid personal care services (PCS) and home health services (HHCS) that require an in-home visit by a provider. This applies to PCS provided under sections 1905(a)(24), 1915(c), 1915(i), 1915(j), 1915(k), and Section 1115; and HHCS provided under 1905(a)(7) of the Social Security Act or a waiver.

States must require EVV use for all Medicaid-funded PCS by January 1, 2020 and HHCS by January 1, 2023. Otherwise, the state is subject to incremental FMAP reductions up to 1% unless the state has both made a “good faith effort” to comply and has encountered “unavoidable delays.” Please see below for a list of EVV resources to assist states in complying with CURES Act requirements:

EVV Outcome Based Certification

CMS has developed a streamlined, outcomes-based approach to EVV certification. This approach focuses on achieving business outcomes embodied in the CURES Act and is intended to reduce the certification burden on states. In doing so, CMS aims to ensure that systems receiving FFP are meeting the business needs of states and of CMS.

Further Reading about EVV OBC: https://www.medicaid.gov/medicaid/data-systems/outcomes-based-certification/electronic-visit-verification-certification/index.html

Download the EVV OBC Certification Requirements: https://www.medicaid.gov/medicaid/data-and-systems/downloads/outcomes-based-verification/evv-certification.zip

EVV OBC Programs Using ReadyCert adopt a MITA Maturity Approach

Agencies extend the capability of flexibility and adaptability through national interoperability. Agencies collaborate on response to changes and share solutions intra- and inter-state.

ReadyCert allows you to share data while maintaining a strict data governance that follows your state program. ReadyCert allows you to collaborate and interoperate with each state's compliance program that also uses ReadyCert. The ReadyCert compliance platform applies to all departments of the state including transportation, health and human services, IT and decision support services, System Integration services, and all other state services. This is due in part to ReadyCert's agnostic approach to the problem of "what is a requirement?" By defining the requirement at the interstate level, meaning the content of the requirement is a submodule to its structure and architecture, states are finding that they are able to produce meaningful re-use and ROI in the realm of time savings, reduced clicks and headaches, and increased agility of programs to provide and supply sufficient data for assurances that are required by congresses and accountability offices.

Govern your multi-state system interconnection programs with ReadyCert

The industry is finding more and more these days that system interconnections are not a service, they are more like a compliance programs. Using largely agile methodologies, system and solution vendors are finding that they are working with the system interconnection staff of MCOs and Agency software vendors more and more. These communications can be directed towards a compliance program that ensures your system interconnection customers are meeting your connection requirements prior to receiving advanced technical support.