Vermont Medicaid partnered with Sandata Technologies to provide the State-sponsored EVV solution. In partnership with Gainwell Technologies, the VT Medicaid system works with Sandata Technologies to capture the EVV data.
Phase I: Personal Care Services
- EVV System in place January 1, 2021
- Adoption
- Consumer Direct Services: 48% (May 2022)
- Home Health Agency Services: 85%
- Recoupment of paid claims:
- Home Health – March 2022
- EVV is a timesheet requirement for approval and payment:
- Consumer Direct – July 2022
- Communications
- Monthly HHA Meetings + Memo January 2022
- Monthly Flyers to Consumer Direct
- Public Notice
Phase II: Home Health Services
- Must use EVV by January 1, 2023
- Home Health Services include:
- Skilled Nursing Services
- Physical Therapy
- Occupational Therapy
- Speech Therapy
- Home Health Aid Services
- EVV is not required for all services that a Home Health Agency may deliver.
- High-Tech Nursing Services
- Children’s Palliative Care Services
- Hospice Care
- EVV mandate only applies to the part-time or intermittent care that falls under 1905(a) coverage category of home health services.
- EVV is not required for durable medical equipment and supplies.
- Home Health Agencies (HHA) can use the Vermont EVV system or an alternative EVV system connecting to VT’s EVV system.
- HHAs use alternate EVV systems for personal care
- Most HHAs are not using EVV for professional services.
- HHAs may need funding for system development.