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COVID 19 - Electronic Visit Verification Transition Period Extended to September 1, 2020 for Agency-Directed Services

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Memo
Effective Date:

To:
Personal Care, Respite Care, Companion Services, Home Health Providers, Services Facilitation Providers, and MCOs
From:
Karen Kimsey, Director Department of Medical Assistance Services (DMAS)

The purpose of this memo is to provide an update for the implementation of Electronic Visit

Verification (EVV) requirements. EVV is a requirement for personal care, respite care and companion services paid through the Medicaid program. The Department of Medical Assistance Services (DMAS) launched EVV on October 1, 2019 and provided a transition period. In light of the ongoing COVID-19 pandemic and to allow agency providers during this time the opportunity to acclimate to the requirements, DMAS will extend the transition period through August 31, 2020. This transition period applies to agency-directed services provided through fee for service, Commonwealth Coordinated Care Plus (CCC Plus) and Medallion 4.0 managed care plans. Consumer directed service EVV requirements remain unchanged.

During this extended transition period, agency providers will continue to be reimbursed for claims that do not meet EVV compliance. DMAS will continue to monitor the rate of EVV compliance to ensure providers are making concerted efforts to successfully comply with EVV.

Until September 1, 2020, DMAS will continue to pay EVV claims with regardless of the status of EVV data. Claims that do not fully comply with the EVV requirements will receive informational error codes.  On September 1, 2020, these error codes will no longer be information and will result in claim denials. Please use this additional time to correct any errors.

 

PROVIDER CONTACT INFORMATION & RESOURCES

Virginia Medicaid Web Portal Automated Response System (ARS)

Member eligibility, claims status, payment status, service limits, service authorization status, and remittance advice.

www.virginiamedicaid.dmas.virginia.gov

Medicall (Audio Response System)

Member eligibility, claims status, payment status, service limits, service authorization status, and remittance advice.

1-800-884-9730 or 1-800-772-9996

KEPRO

Service authorization information for fee-for-service members.

https://dmas.kepro.com/

 

Managed Care Programs

Medallion 4.0, Commonwealth Coordinated Care Plus (CCC Plus), and Program of All-Inclusive Care for the Elderly (PACE).  In order to be reimbursed for services provided to a managed care enrolled individual, providers must follow their respective contract with the managed care plan/PACE provider.  The managed care plan may utilize different guidelines than those described for Medicaid fee-for-service individuals.

Medallion 4.0

http://www.dmas.virginia.gov/#/med4

CCC Plus

http://www.dmas.virginia.gov/#/cccplus

PACE

http://www.dmas.virginia.gov/#/longtermprograms

Magellan Behavioral Health

Behavioral Health Services Administrator, check eligibility, claim status, service limits, and service authorizations for fee-for-service members.

www.MagellanHealth.com/Provider

For credentialing and behavioral health service information, visit:

www.magellanofvirginia.com, email: VAProviderQuestions@MagellanHealth.com,or

call: 1-800-424-4046

 

Provider HELPLINE

Monday–Friday 8:00 a.m.-5:00 p.m.  For provider use only, have Medicaid Provider ID Number available.

1-804-786-6273

1-800-552-8627

Aetna Better Health of Virginia

aetnabetterhealth.com/virginia

1-800-279-1878

Anthem HealthKeepers Plus

www.anthem.com/vamedicaid

1-800-901-0020

Magellan Complete Care of Virginia

www.MCCofVA.com

1-800-424-4518 (TTY 711) or 1-800-643-2273

Optima Family Care

1-800-881-2166

United Healthcare

Uhccommunityplan.com/VA and myuhc.com/communityplan

1-844-752-9434, TTY 711

 

Virginia Premier

1-800-727-7536 (TTY: 711)