AHCA Behavior Analysis
Electronic Visit Verification
The Florida Agency for Health Care Administration (AHCA) has contracted with Tellus to implement the AHCA Electronic Visit Verification (EVV) program for behavior analysis (BA) services for Medicaid Regions 9, 10, and 11 (Miami-Dade, Monroe, Broward, Indian River, Okeechobee, St. Lucie, Martin and Palm Beach) Counties beginning December 1, 2019 through August 1, 2020. The Agency will initiate a soft-launch of the EVV system with a mandatory launch date no earlier than August 1, 2020. The AHCA BA EVV program is powered by Tellus technology and uses Tellus EVV software to verify the utilization and delivery of BA services to deter fraudulent or abusive billing. The AHCA BA EVV program will also provide an electronic billing interface and requires the electronic submission of claims for BA services.
AHCA is providing Regions 9, 10, and 11 with the Tellus end-to-end EVV solution, which includes a Mobile Application, Administrator Console and Claims Console, at no charge. Providers may choose to use another vendor’s mobile application and/or management system if these systems meet the minimum requirements for integration with Tellus. AHCA does not reimburse costs for other vendor solutions.
Along with EVV, the eQHealth prior authorization policy for BA services remains in effect to further ensure that BA services are medically appropriate and delivered as planned. All claims must be submitted using the Tellus Claims Console.
What is EVV?
EVV generates a digital file for every visit that is a permanent record of “who (client and provider), when, where, and what” BA services were provided. With EVV, BA providers use a mobile application on a smart device to check in for an appointment, check off tasks as they are completed, and check out when the appointment is complete. This information is then automatically available to administrative staff who can confirm that the care plan was followed and submit claims to Medicaid.
In addition to documenting visits, providers can check their schedules and receive updates as needed throughout the day. BA agencies and offices benefit through greater visibility of recipient needs and staff availability; more efficient documentation and billing; reduction in paperwork and fewer denied claims.
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