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Electronic Visit Verification

Requires every Medicaid personal care visit (Home Help and MI Choice) that starts or ends in the client's home to be recorded in HHAeXchange or an approved alternative EVV system that captures the six federal data elements, explains how workers clock in and out, how the live-in caregiver exemption works, how missed or wrong entries are corrected, and how the Agency keeps manual edits low enough to meet the 85 percent quarterly compliance threshold MDHHS enforces.

Preview: full text with a package
About this policy
Policy number
MI-HC-BUS-03
Version
1.0
Main rule
42 U.S.C. §1396b(l)
Library
Michigan home care · 50 policies
Category
Business
Sections
18

In short

  • Clock in when you arrive and clock out when you leave, every visit, using the EVV app.
  • No signal? Use the app offline and connect by the end of the day.
  • Use the client's landline for the phone line only if the client agrees.
  • Never clock in or out for someone else or share your login.
  • If you forget or make a mistake, call the office the same day.

What's inside

18 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. The Agency's EVV System
  • 6. What Workers Do on Every Visit
  • 7. Exemptions
  • 8. Manual Edits and Corrections
  • 9. Compliance Monitoring
  • 10. Billing and Records
  • 11. Responsibilities
  • 12. Records and Compliance Monitoring
  • 13. Staff Training
  • 14. References
  • 15. Related Policies and Forms
  • 16. Approval
  • 17. Revision History

An inspector may ask

  • Which EVV system do you use, and for which programs?
  • Show me how a worker clocks in and out, and how you correct a missed clock-out.

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