1. CCSP/SOURCE and EVV Update
Georgia Association of Community Care Providers
Tom Underwood
Georgia Department of Community Health
Community Care Services Program
February 8, 2018

2. CCSP Unit Assignments

3. Rate Updates All new rates loaded for CCSP and SOURCE
ERS, HDM and ERS rates effective Nov 2017
See Appendix S of CCSP General Services Manual or Appendix DD of SOURCE Manual for rates
PSS – 15 mins for CCSP and 30 minutes for SOURCE
Mass adjustment planned for Nov and Dec 2017 claims

4. Mass Adjustments SOURCE ADH – paid 10/31/2017 CCSP ADH Part I – paid
CCSP ADH Part II – ready for approval and release
CCSP and SOURCE ERS, HDM and PSS – to be scheduled soon after mass adjustments released

5. Special Batch Requests
On hold to due Gateway update issues
Should be released soon
Timely filing – no need to resend
Others for CCSP for DOS prior to March 2017 – send ICN on SAF if payment outstanding
Please be patient until release occurs.

6. CCSP Medicaid Eligibility
Care coordination agencies are helping clients apply on Gateway
Please allow 45 days for elderly and 60 days for disabled for processing
Send documents to CC if you have them
Contact for the Atlanta region
Must send 30 day advance notice of discharge if for no Medicaid eligibility.

7. Pending Medicaid (PMAO) in SOURCE
Cost share system issues being worked out
Expected to role out within next 6 months if all goes well

8. EVV (Electronic Visit Verification) Overview
EVV is a federal mandate under the 21st Century Cures Act
Georgia must implement an EVV solution to comply with the federal requirement and avoid a reduction in federal funding
The goal of the mandate is to reduce Medicaid fraud, waste and abuse
For CCSP and SOURCE, EVV applies to private home care providers.
EVV implementation for Personal Care Services must be implemented by 1/1/19 and home health care services by 1/1/23.

9. EVV Overview (cont’d)
At a minimum, EVV systems must electronically verify:
Type of service performed
Individual receiving the service
Date of the service
Location of service delivery
Individual providing the service
Time the service begins and ends
EVV implementation for Personal Care Services must be implemented by 1/1/19 and home health care services by 1/1/23.

10. EVV Overview (cont’d)
EVV deploys useful technology and process changes that will benefit all stakeholders
Verifies services were rendered
Improve quality of care and health outcomes for Medicaid members
Improve claim accuracy
EVV implementation for Personal Care Services must be implemented by 1/1/19 and home health care services by 1/1/23.

11. EVV Implementation Approaches
Provider Choice: Providers select their vendor of choice and self-fund its implementation
Managed Care Organizational Choice: CMOs select their vendor of choice and self-fund its implementation
State Mandated External Vendor: States contract with a single EVV vendor that all providers must use
State Mandated In-house System: States create, run, and manage their own EVV system that all providers must use
Open Vendor: States contract with a single EVV vendor or build their own system for providers to use, but allow the use of other EVV systems as well
Source: CMS EVV Systems Session 1, December 2017

12. Our Timeline
Ongoing communications with our stakeholders is a priority!
August 2017 – Launched communications with stakeholder groups
February 2018
Began internal Communications Workgroups
Strategic visioning session including member advocates and providers on 2/27
April 2018 – Anticipated release of EVV Request For Proposals (RFP)
September 1, 2018 or before – Anticipated award date
January 1, 2019 – Deadline for implementation for Personal Care Svcs
January 1, 2023 – Deadline for implementation for Home Health Care Svcs
Source: CMS EVV Systems Session 1, December 2017

13. Our Timeline
Ongoing communications with our stakeholders is a priority!
February 2018
Began internal communications workgroups
Strategic visioning session including member advocates & providers on 2/27
September 2018
Anticipated award date
August 2017
April 2018
January 1, 2019
Launched communications with stakeholder groups
Anticipated release of EVV Request For Proposals (RFP)
Deadline for implementation for Personal Care Services
* Deadline for implementation for Home Health Care Services is January 1, 2023
Source: CMS EVV Systems Session 1, December 2017

14. Next Steps
Georgia will ask vendors to propose innovative EVV solutions
Aggregate data from existing EVV systems
Minimize impact to Medicaid members and providers
Can be used in both urban and rural settings
Provide a variety of training methods / options

15. Next Steps (cont’d)
Planning and procurement process will involve representatives from member and provider communities via participation in strategic planning sessions and vendor solution demonstrations
A dedicated Organizational Change Management (OCM) team will help to ensure information flows smoothly in both directions throughout the planning, procurement, and implementation of the EVV solution

16. Questions?
If you have additional questions or suggestions regarding Georgia’s EVV Program,