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:
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.
Download the EVV OBC Certification Requirements: https://www.medicaid.gov/medicaid/data-and-systems/downloads/outcomes-based-verification/evv-certification.zip
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.
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.
The Department of Defense has released an update to its Cybersecurity Maturity Model Certification (CMMC) framework and program. While the goals of CMMC have not changed from the original, there are significant changes to how the program will be administered.
ReadyCert is a MITA compliance tool that is useful at all the stops along the route to CMS certification of new MITA trains. ReadyCert helps Medicaid stakeholders of all kinds sort cars, compile data, and configure and deploy solutions in a way that is MITA organized and is structurally able to deliver the right data to the right stakeholders. It does not matter where on a MITA journey your organization is, ReadyCert is the tool you need to stay on track.
Policies and Guidance issued by the DOD for contracting with secure professionals from the industry. Ensure your policies are up to date by reviewing the chart and including the relevant materials in your ReadyCert self-assessment and compliance programs.