Suspending Electronic Visit Verification for Behavior Analysis Services (EVV)

 

Provider Type(s): 39

Behavior Analysis Fee-for-Service

Suspending Electronic Visit Verification for Behavior Analysis Services (EVV)

 

Today, the Florida Medicaid program announced that Electronic Visit Verification for Behavior Analysis Services will be suspended effective February 5, 2022. This announcement comes following the Agency’s November 10, 2021 provider alert which announced that the Agency will transition to the American Medical Association (AMA) Behavior Analysis Current Procedural Terminology (CPT) code structure on July 1, 2022.

 

Beginning January 10, 2022, providers may bill through Netsmart or the Florida Medicaid Secure Web Portal during the transition period, until February 5, 2022.

 

Beginning February 5, 2022, behavior analysis (BA) providers will no longer utilize the Netsmart EVV system to verify Medicaid BA services and must begin billing via direct data entry in the Florida Medicaid Secure Web Portal.

 

If you have visits scheduled or unmatched visits, in the EVV system, then you may bill for those visits directly in the Florida Medicaid Secure Web Portal.

 

If you have denied claims in the Florida Medicaid system, you should correct the edits based on your remittance advice and bill Florida Medicaid directly via the Florida Medicaid Secure Web Portal.

 

Training and Contact Information

Training on the use of the secure Web Portal is located on the Florida Medicaid Public Web Portal at:

http://portal.flmmis.com/FLPublic/Provider_ProviderServices/Provider_Training/Provider_Training_Presentations/tabId/84/Default.aspx

 

You may also contact the Provider Services main telephone line at 1-800-289-7799 and select Option 7: Provider Services Contact Center and Field Services Representatives

 

Additional Information

A list of frequently asked questions can be found on the Agency’s website at:

https://ahca.myflorida.com/medicaid/Policy_and_Quality/Policy/behavioral_health_coverage/bhfu/BA_Services.shtml.

 

You can also download a PDF FAQ file here:

Behavior Analysis Electronic Visit Verification Program Questions and Answers

Scroll to Top