GEORGIA: Starting November 1 All EVV-Related Claims Must Include EVV Visit Information
HCAOA members in Georgia - if you are a provider of Personal Support Services (PSS) or Community Living Supports (CLS) through SOURCE, CCSP, NOW, COMP, ICWP, and / or GAPP, at this point in time, you should have Registered for the State EVV solution and successfully submitted at least one claim per EVV-applicable Medicaid ID.
Ideally, your agency and aides/caregivers have all completed training and are regularly using your chosen, compliant EVV solution and submitting claims through the State EVV solution, Netsmart Caregiver+.
As a new update, the mandatory claims edit for EVV-required services will be extended to November 1, 2021 for all EVV-applicable providers and fiscal intermediaries.
DCH acknowledges provider feedback requesting additional time to address the following items:
The Georgia Department of Community Health expects missing prior authorizations and rounding rules to be resolved at the end of September and the new rate adjustments to be implemented in early October. This additional month is to allow providers an opportunity to familiarize themselves with the solution and the recent updates.
Starting November 1, 2021, all EVV-related claims must include the required EVV visit information and be submitted through the State EVV solution. The only exception will be for those with an outstanding support ticket.
To continue adoption and system usage, complete the provider checklists. These checklists include guides to help you complete training, download the mobile application and even talk to your Medicaid members.
Please ensure you, your administrators, and applicable aides and caregivers have completed necessary training. Those training needs and guides are available in both Phase 1 checklists below.
Phase 1 Implementation Checklist - Providers Using Tellus EVV
Phase 1 Implementation Checklist - Providers Using a Third-Party EVV Solution
Click below to download the PDF Phase 2 (claims) checklist to complete steps for claims submission.
Phase 2 (Claims) Implementation Checklist – Providers Using Tellus EVV
Phase 2 (Claims) Implementation Checklist – Providers Using a Third-Party EVV Solution
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