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Electronic Visit Verification for Medi-Cal Home Health Care Services

Captures every Medi-Cal home health care services visit through California Electronic Visit Verification (CalEVV), or an approved alternate system that sends data to CalEVV, recording the six data elements the 21st Century Cures Act requires; sets out check-in and check-out, corrections, and the match between the EVV record, the clinical note, and the claim.

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About this policy
Policy number
CA-HH-BUS-03
Version
1.0
Main rule
42 U.S.C. §1396b(l)
Library
California home health · 58 policies
Category
Business
Sections
17

In short

  • For every Medi-Cal visit, check in when you arrive and check out before you leave, using the EVV app.
  • Write your visit note at the time of the visit. The note and the EVV times must match.
  • If you forget to check in or out, or the app does not work, tell the scheduler the same day.
  • Never add time or services that you did not provide.
  • For app problems, call Sandata Customer Care for CalEVV, 1 (855) 943-6070, CACustomerCare@sandata.com.

What's inside

17 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. Setting Up
  • 6. Capturing the Visit
  • 7. Missed or Incorrect Check-ins
  • 8. Billing and Records
  • 9. Alternate EVV System
  • 10. Responsibilities
  • 11. Records and Compliance Monitoring
  • 12. Staff Training
  • 13. References
  • 14. Related Policies and Forms
  • 15. Approval
  • 16. Revision History

An inspector may ask

  • Which of your visits must be captured in EVV?
  • Show me the EVV record and the clinical note for this Medi-Cal visit. Do the times and services match?

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