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Electronic Visit Verification for Ohio Medicaid Home Health Services

Requires every Ohio Medicaid home health aide, nursing and therapy visit (and waiver personal care aide and waiver nursing visit) to be verified through electronic visit verification at the visit, using the state Sandata system or an approved alternate, with manual entry only as a last resort, signed and yearly-renewed patient consent before any GPS function is used, accurate data, and every exception resolved before the claim is billed.

Preview: full text with a package
About this policy
Policy number
OH-HH-BUS-03
Version
1.0
Main rule
OAC 5160-32-02
Library
Ohio home health · 59 policies
Category
Business
Sections
21

In short

  • Start and end every Ohio Medicaid visit in EVV at the patient’s home or service location.
  • Use the app first, the patient’s phone second. Manual entry is only for when neither works, never as routine.
  • GPS is used only with the patient’s signed consent, renewed every year. The patient can withdraw it at any time.
  • Never record a visit that did not happen or change visit times.
  • Call the office at once if you will be late or miss a visit, or if your device does not work.

What's inside

21 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 (OAC 5160-32-02)
  • 5. The EVV System the Agency Uses
  • 6. Recording Each Visit
  • 6.1 Location
  • 7. Manual Entry
  • 8. GPS and Patient Consent
  • 9. Exemptions
  • 10. Exceptions and Billing
  • 11. Missed and Late Visits
  • 12. Use of EVV Data
  • 13. Responsibilities
  • 14. Records and Compliance Monitoring
  • 15. Staff Training
  • 16. References
  • 17. Related Policies and Forms
  • 18. Approval
  • 19. Revision History

An inspector may ask

  • Which of your services are subject to EVV, and which system do you use?
  • How do staff record the start and end of a visit, and how often do you use manual entry?

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