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Pennsylvania's Trusted EVV + Medicaid Solution

We make compliance EASY.

We’ve Done the Hard Work for You

Our easy-to-use, all-in-one home care software meets Pennsylvania’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 Pennsylvania Agency EVV Compliant

AxisCare integrates with Pennsylvania’s EVV aggregators, HHAeXchange, Tellus/Netsmart, and Sandata, allowing agencies to easily pass visit information directly from AxisCare to HHAeXchange or Sandata.

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
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Your EVV Experts

As a company, it is our priority to be experts in home care. Our team understands Pennsylvania’s complex rules and regulations and is ready to support you every step of the way.

Understanding Pennsylvania's EVV Requirements

Pennsylvania, like other states, has its own Electronic Visit Verification (EVV) requirements mandated at the federal level. This program necessitates the verification of all Medicaid-funded personal care and home health services through an electronic system. The Department of Human Services (DHS) manages the Pennsylvania EVV program, necessitating providers to use the assigned EVV systems unless they meet the criteria for an exception or waiver.

Service Types Covered by Pennsylvania's EVV Requirement

EVV is required in Pennsylvania for the following services:

  • Personal Care Services (PCS)
  • Home Health Aide (HHA) Services
  • State Plan Home Health Services
  • Private Duty Nursing (PDN) Services
  • Respite Care
  • Adult Day Care Services
  • Home and Community Based Services (HCBS)

Please note that these are general categories, and the exact services subject to EVV may depend on the specific Medicaid program and policies within Pennsylvania. For precise and up-to-date information and services covered by Pennsylvania’s EVV requirements, it’s advisable to contact the Department of Human Services (DHS).

Eligible Exceptions & Waivers

In Pennsylvania, there are certain circumstances that may qualify a provider for an exception or waiver from using the EVV system. These include:

  • Services provided in remote areas with limited internet access or cellular connectivity.
  • Services provided by a caregiver who is under 18 years old.
  • Services delivered via telemonitoring or telemedicine.

Providers wishing to apply for these exceptions or waivers must make a request through the Pennsylvania Department of Human Services website and receive approval before they are exempted from using 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.

Pennsylvania 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.

Pennsylvania requires EVV for:

  • Personal Care Services (PCS)
  • Home Health Aide (HHA) Services
  • State Plan Home Health Services
  • Private Duty Nursing (PDN) Services
  • Respite Care
  • Adult Day Care Services
  • Home and Community Based Services (HCBS)

Providers should check with the Pennsylvania Department of Human Services for a complete list of services requiring EVV.

The deadline for EVV compliance for personal care services in Pennsylvania was 1/1/21.

Non-compliance with Pennsylvania’s EVV regulations may lead to serious consequences, including reduced reimbursement rates, termination of Medicaid provider status, and denial of payment for services.

For more comprehensive information, please refer to the Pennsylvania Department of Human Services website or contact your Managed Care Organization (MCO).

Speak to a Home Care Expert

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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