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Electronic Visit Verification (EVV)

Electronic visit verification (EVV) is required by federal law for personal care and applicable supportive home care services. All states must collect visit information using an EVV system or they won’t receive their full federal funding for Medicaid. 

 

EVV in Wisconsin changed to the hard launch phase on May 1, 2023.

As of January 1, 2024, EVV for home health care services (HHCS) and personal care nurse supervisory code 99509 is required in Wisconsin.

 

EVV Support
Have questions about EVV in Wisconsin? Contact Wisconsin EVV Customer Care Monday-Friday, 7 a.m. - 6 p.m. CT at 833-931-2035 or vdxc.contactevv@wisconsin.gov.

EVV example.jfif

 

 

 

Public Forum Announcement: Electronic Visit Verification

Learn about the requirements, new policy, and EVV next steps for home health care services and nurse supervisory code 99509.

 

The Wisconsin Department of Health Services (DHS) is hosting a public forum regarding electronic visit verification (EVV) for home health care services (HHCS) and nurse supervisory code 99509 on Wednesday, November 29, 2023, from 1 to 3 p.m. Central time (CT).

EVV will be required in Wisconsin on January 1, 2024, for HHCS and personal care nurse supervisory service code 99509. EVV is required by federal law. All states must require EVV system use to maintain full federal Medicaid funding.

Home health care providers, including independent nurses, are encouraged to attend the forum to learn more about the EVV requirement, new policy, and next steps.

Electronic Visit Verification Public Forum
Wednesday, November 29, 2023
1–3 p.m. CT
Join by Zoom: dhswi.zoomgov.com/j/1601353538
Join by Telephone: 1-669-254-5252, Webinar ID: 160 135 3538

Submit questions
During the forum, there will be a Q&A session where Wisconsin EVV specialists will answer questions. Stakeholders may submit questions in advance by emailing dhsevv@dhs.wisconsin.gov. Questions will either be answered live or responded to individually.

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Learn more about the HHCS EVV requirement, timeline, and next steps. 

EVV for HHCS will be required in Wisconsin by January 1, 2024. EVV is required by federal law. All states have to require EVV system use to maintain full federal Medicaid funding.

HHCS codes that will require use of an EVV system in Wisconsin include:

92507

97139

97799

99504

99600

S9123

S9124

T1001

T1021

T1502

*Personal care service code 99509 will also require the use of an EVV system at that time.

 

Additional information:

  • Members, caregivers, providers (including independent nurses), related associations, and advocates are welcome to attend. The forum is offered at no cost and is open to the public.

  • During the forum, DHS will share information about the federally mandated EVV requirement. There will also be a Q&A session where Wisconsin EVV specialists will answer questions.

  • Submit questions in advance to be addressed during the forum by emailing dhsevv@dhs.wisconsin.gov. Questions will either be answered live or responded to individually.

  • Closed captioning and American Sign Language interpretation will be provided during the forum.

  • In the weeks following the forum, a recording of the presentation will be made available on the EVV Forums webpage.

  • The written presentation will also be available in English, Hmong, Spanish, and other languages (as requested).

  • DHS will notify EVV email subscribers when the forum recording and translations are available. If you haven’t already, sign up for EVV emails.

 

Announcement from Wisconsin DHS, April 7, 2023 - Personalized EVV Support 

As you know, the Department of Health Services will begin imposing consequences when visit information is not captured using an EVV system for required personal care and certain supportive home care services (service codes T1019, T1020, S5125, S5126).

 

Please make sure you take the time to get your questions answered before May 1. You can do this by setting up an office hours session with an EVV specialist from our Wisconsin EVV Customer Care team. Our EVV specialists can make suggestions to help you move forward and answer any questions you have about EVV.

Office hours can help you get started with EVV, solve a specific issue, answer your questions, or become an ongoing touch base to make sure you have what you need every step of the way.


To schedule personalized support, call Wisconsin EVV Customer Care at 833-931-2035 or email them at vdxc.contactevv@wisconsin.gov and ask to set up an office hours appointment.

Stay in the know

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We want to share with you important information regarding Electronic Visit Verification (EVV). As of May 1, 2023, EVV is required to validate Medicaid authorized services are being provided. Based on new clarifying information from DHS, we believe you should reconsider if EVV applies to you.

Updated Direction for EVV and Community Supported Living and Supported Independent Living Providers Authorized under service codes S5131, S5136, or 99600

The Wisconsin Department of Health Services (DHS) is clarifying expectations regarding when electronic visit verification (EVV) is required. EVV is required when hands-on, personal care is provided. Such as:

 

  • Assistance with getting in and out of bed

  • Toileting, including use and care of bedpan, urinal, commode, or toilet

  • Assistance with bathing

  • Assistance with feeding

  • Administering medication (defined as in-person, hands on, assistance to an individual to safely take their medication)

  • Assistance with grooming (teeth, mouth, denture, and hair care)

  • Assistance with dressing and undressing

  • Care of eyeglasses and hearing aids

  • Assistance with mobility and ambulation, including use of walker, cane, or crutches

  • Simple transfers, including bed-to-chair or wheelchair and reverse

  • Skin care, excluding wound care

 

Any individuals authorized by a managed care organization (MCO) for community supported living or supported independent living under service codes S5131, S5136, or 99600, need to be evaluated to determine if hands-on personal care is occurring.

 

If hands-on personal care is being provided, the MCO will need to transition the community supported living or supported independent living authorization, in whole or in part, to one of the two applicable supportive home care EVV service codes; S5125 (SHC per 15 minutes) or S5126 (SHC per day). Please note, if supervision, cueing, or prompting of a member is the only service provided, EVV is not required, and an evaluation will not be required.

 

MCOs will be working closely with providers over the coming weeks to determine who is impacted and to develop a plan to transition these services to an EVV required code.

DSPN will work with you and DHS to comply with the new EVV requirement. We look forward to hearing from you and working with you on this important issue.  

Access more EVV resources from Wisconsin DHS

The DHS website is the best place to learn about EVV. Here are four places to start:

Getting Started with EVV:

Providers new to EVV should reference the New to EVV? flyer for step-by-step instructions. Wisconsin EVV Customer Care is also here to provide support throughout the process. Customer Care is available by email at vdxc.contactevv@wisconsin.gov or phone at 833-931-2035 Monday–Friday, 7 a.m.–6 p.m. CT.

If you know someone who wants to know more about EVV, share these resources. They can also sign up for DHS EVV emails

Please reach out to DHS with any questions or comments you may have. 

Wisconsin EVV Customer Care
833-931-2035
vdxc.contactevv@wisconsin.gov

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