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Physical Disabilities & Aging

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In June 2020, the Office of Long-Term Living (OLTL) issued transition plans to phase out temporary changes to the OBRA Waiver and Act 150 Program via the OLTL Listserv. The transition plans direct the OBRA and Act 150 Program Service Coordinators (SCs) to resume performing face-to-face assessments and allow telephonic assessments when risk factors are present in the participant’s home. The transition plans also allow the SCs to make adjustments (additions or reductions) to service plans as determined by the participant’s assessment. On August 26, 2020, OLTL issued additional guidance for OBRA and Act 150 SCs as they resume face-to-face assessments. Questions about this information should be directed to the OLTL Provider Helpline at 800-932-0939.

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The Department of Human Services (DHS) recently announced they would be delaying the deadline for the compliance requirements of electronic visit verification (EVV) for personal care services (PCS) until January 1, 2021. No claims will be denied because of EVV until January 1, 2021; however, providers are encouraged to use their best efforts to continue to use EVV during this public health emergency (PHE). Providers using Alternate EVV who have not already reached out to begin this process must contact Sandata Alternate EVV support team by phone at 1-855-705-2407 or by email. As a reminder, this process began in August 2019, so if you have already reached out to Sandata to begin this process, you do not need to do so again.

The Alternate EVV certification process takes 4–6 weeks for completion. The Quick Reference Guide outlines the alternate EVV process and the required actions for providers, alternate EVV vendors, and Sandata throughout the eight-step process. All PCS providers must complete the EVV compliance audit survey. If you have already responded to the EVV compliance audit survey, you do not need to respond again.

Updated 2020 EVV Implementation Timeline:

  • January 1, 2020 through December 31, 2020: All Providers must begin using EVV for PCS.
    • Error Status Codes (ESCs) are in effect for claims submitted through PROMISeTM for services subjected to EVV.
    • Providers should review the ESCs to identify whether claims are supported by EVV visits in the DHS Aggregator. These ESCs will assist providers in understanding when claims will deny beginning January 1, 202
    • Additional information on ESCs can be found on the DHS EVV website and were also sent out via Listserv communications.
  • January 1, 2021 and after: Claims submitted for PCS without a matching EVV visit will be denied.

For any questions related to EVV, please email the EVV resource account or visit the DHS EVV Website.

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As the pandemic continues, so does our fight to secure financial relief on your behalf – but we need your help. Your shared experiences will underscore the importance of additional funding.

Help us make the strongest case possible on Capitol Hill – fill out this brief survey by Monday, August 31. Your input will help us advocate for the financial assistance you deserve.

Thank you for your support. Just a few minutes of your time will help pave the way for your organization — and others — to power through this pandemic. Questions? Contact us!

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