Electronic Visit Verification for NC Medicaid Home Health Services
Requires electronic visit verification for every NC Medicaid home health visit (skilled nursing, aide, physical, occupational and speech therapy), recorded in real time through the State’s or the health plan’s EVV system or a compliant alternate system, with written notice to each patient, initial and annual staff training documented in each employee file, and manual entries kept to 15 percent or less.
About this policy
- Policy number
- NC-HH-BUS-03
- Version
- 1.0
- Main rule
- NC Medicaid Clinical Coverage Policy 3A
- Library
- North Carolina home health · 57 policies
- Category
- Business
- Sections
- 17
In short
- Use EVV at every NC Medicaid visit: check in when you arrive and check out when you leave.
- Use the app on your approved device, the patient’s registered phone, or the device in the home.
- Never check in for someone else or for a visit that did not happen.
- If EVV does not work, call the office the same day and explain why.
- Each NC Medicaid patient gets a written notice about EVV at the start of care.
What's inside
17 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (NC Medicaid Clinical Coverage Policy 3A, section 7.8)
- 5. Which Visits and Which System
- 6. Recording a Visit
- 7. Telling Patients
- 8. Staff Training
- 9. Claims and Exceptions
- 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 EVV system do you use for NC Medicaid Direct patients and for each health plan?
- Show me where this patient was told in writing about EVV.
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