We’ve Done the Hard Work for You
Our easy-to-use, all-in-one home care software meets Wisconsin’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 Wisconsin Agency EVV Compliant
AxisCare integrates with Wisconsin’s EVV aggregator, Sandata, allowing agencies to easily pass visit information directly from AxisCare to 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
Your EVV Experts
Understanding Wisconsin's EVV Requirements
Electronic Visit Verification (EVV) is a federal mandate that verifies all Medicaid-funded personal care and home health services through an electronic system. The Wisconsin Department of Health Services (DHS) is charged with managing the Wisconsin EVV program. Service providers are obligated to use the designated EVV system, unless they meet specific criteria that qualify them for an exception or waiver.
Service Types Covered by Wisconsin's EVV Requirement
Currently, the services in Wisconsin that require the use of the EVV system include:
- Personal Care Services (PCS)
- Home Health Aide (HHA) Service
- State Plan Home Health Services
- Respite Care
- Adult Day Care Services
- Home and Community Based Services (HCBS)
- Private Duty Nursing (PDN) Services
Please note that these are general categories, and the exact services subject to EVV may depend on the specific Medicaid program and policies within Wisconsin. For precise and up-to-date information and services covered by Wisconsin’s EVV requirements, it’s advisable to contact the Wisconsin Department of Health Services (DHS).
Eligible Exceptions & Waivers
As specified by the DHS, there are certain circumstances that may qualify a provider for an exception or waiver from using the EVV system. These exceptions include:
- Services delivered in remote areas with minimal internet or cell phone connectivity
- Services provided by a caregiver who is under 18 years old
- Services executed through telemonitoring or telemedicine
To procure these exceptions or waivers, providers must submit a request to the DHS 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.
Wisconsin 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.
Services that require EVV in Wisconsin include:
- Personal Care Services (PCS)
- Home Health Aide (HHA) Services
- State Plan Home Health Services
- Respite Care
- Adult Day Care Services
- Home and Community Based Services (HCBS)
- Private Duty Nursing (PDN) Services
The deadline for EVV compliance in Wisconsin for personal care services was 1/1/21.
Non-compliance with Wisconsin’s EVV regulations can lead to severe penalties, such as reduced reimbursement rates, loss of Medicaid provider status, and denial of payment for services.
For more detailed information about Wisconsin’s EVV requirements, please visit the Department of Health Services website.
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