Pennsylvania Gateway Health
Gateway Health will implement Tellus EVV to electronically verify the utilization and delivery of care services for its Medicaid members. Tellus is a national EVV company that has successfully launched EVV with multiple states, managed care organizations, and thousands of providers.
Electronic visit verification (EVV) is an electronic system providers use to record information when delivering in-home or community-based services where participants receive support with activities of daily living (ADL) and/or instrumental IADL. The Department for Medicaid Services is transitioning to EVV for its 1915(c) Home and Community Based Services (HCBS) waivers. The use of EVV is a requirement of the 21st Century Cures Act passed by Congress in 2016.
EVV must record information on at least six aspects of service delivery: the date, location and type of service, the individual providing the service, the individual receiving the service and the start and end times of the service.
EVV offers several benefits to providers and waiver participants such as eliminating the need for paper documentation, creating flexibility in scheduling and delivering services, improved monitoring of participant health, safety and welfare and reduction in potential Medicaid fraud, waste and abuse.