We’ve Done the Hard Work for You
Our easy-to-use, all-in-one home care software meets New York’s Medicaid Billing + EVV compliance needs, saving you hours of billing time and giving you peace of mind that your business is compliant and running efficiently, from field to office.
Keeping Your New York Agency EVV Compliant
AxisCare integrates with New York’s EVV aggregator, HHAeXchange, CareBridge, and eMedNY, allowing agencies to easily pass visit information directly from AxisCare to your selected aggregator.
Our user-friendly mobile app, AxisCare Mobile, captures all visit information required by the state, including:
- The type of service performed
- The individual receiving the service
- The date of the service
- The location of service delivery
- The individual providing the service
- The time the service begins and ends
Your EVV Experts
Navigating New York's EVV Requirements
New York has implemented its own unique set of guidelines for Electronic Visit Verification. This program, mandated at a federal level, necessitates the validation of all personal care and home health services funded by Medicaid via an electronic platform. The Department of Health (DOH) oversees New York’s EVV program, and requires providers to utilize designated EVV systems unless they qualify for an exception or waiver.
Service Types Covered by New York's EVV Requirements
The utilization of EVV in New York is required for the following services:
- Personal Care Services (PCS)
- Home Health Aide (HHA) Services
- State Plan Home Health Services
- Private Duty Nursing (PDN) Services
- Pediatric and Adult Social Day Care
- Consumer Directed Personal Assistance Program (CDPAP)
Please note that these are general categories, and the exact services subject to EVV may depend on the specific Medicaid program and policies within New York. For precise and up-to-date information and services covered by New York’s EVV requirements, it’s advisable to contact the New York Department of Health.
Eligible Exceptions & Waivers
In New York, certain circumstances may qualify a provider for an exception or waiver from the mandated use of the EVV system. These circumstances include:
- Services delivered in remote areas with limited access to internet or cellular connectivity
- Services provided by a caregiver who is younger than 18 years old
- Services provided via telemonitoring or telemedicine
To be considered for these exceptions or waivers, providers must submit a request through the New York Department of Health website and secure approval before they are excused from utilizing the EVV system.
Frequently Asked Questions
EVV, or Electronic Visit Verification, is a technology-based system that verifies when and where home health care services are provided.
New York EVV is mandated by the 21st Century Cures Act to provide accurate and timely data on the delivery of Medicaid-funded personal care and home health services.
In New York, the service types that fall under the EVV mandate include Personal Care Services, Home Health Aide Services, State Plan Home Health Services, and Private Duty Nursing Services. Providers are advised to consult with the New York Department of Health for a comprehensive list of services that require EVV.
Providers in New York were required to start using EVV for Personal Care Services and Home Health Aide Services beginning January 8, 2020. As for State Plan Home Health and Private Duty Nursing Services, the deadline for compliance with EVV was January 1, 2021.
Non-compliance with the EVV requirements in New York can lead to serious consequences such as decreased reimbursement rates, termination of Medicaid provider status, and denial of payment for services.
For more detailed information, consult the New York Department of Health website or reach out to your Managed Care Organization (MCO).
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Simply fill out the form below to help us understand your unique business needs and one of our home care experts will show you how AxisCare can help you simplify your compliance and streamline your processes.
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