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Electronic Visit Verification for Medi-Cal Personal Care Services

Requires the Agency, whenever it provides Medi-Cal personal care services, to register in California's Electronic Visit Verification system (or a certified alternate system), to have aides record every such visit electronically with the six data elements federal law requires, and to correct and document exceptions before billing.

Preview: full text with a package
About this policy
Policy number
CA-HC-BUS-03
Version
1.0
Main rule
42 U.S.C. §1396b(l)
Library
California home care · 50 policies
Category
Business
Sections
16

In short

  • For Medi-Cal personal care visits, check in and check out in EVV at the client's home.
  • EVV records the service, the client, the date, the place, the aide and the start and end times.
  • Never check in or out for someone else or share your login.
  • If EVV does not work, call the office from the visit and fill in a paper record.
  • Every manual correction needs a reason and a supervisor's approval.

What's inside

16 sections. The full text comes with the One-time Policy Pack.

Full text with a package
  • Terms of Reference
  • 1. Purpose
  • 2. Scope
  • 3. Definitions
  • 4. Policy Statement (42 U.S.C. §1396b(l))
  • 5. Registration and Set-Up
  • 6. Recording a Visit
  • 7. Exceptions and Corrections
  • 8. Billing and Data Protection
  • 9. Responsibilities
  • 10. Records and Compliance Monitoring
  • 11. Staff Training
  • 12. References
  • 13. Related Policies and Forms
  • 14. Approval
  • 15. Revision History

An inspector may ask

  • Which of your services are paid by Medi-Cal, and are they recorded in EVV?
  • Show me how an aide checks in and out of a visit.

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