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What information must be collected and verified through EVV?

The 21st Century Cures Act requires EVV systems to collect and verify the following seven items:

  1. Type of service performed
  2. Member receiving the service
  3. Caregiver providing the service
  4. Date of service
  5. Location of service
  6. Start time of the service (Check-In)
  7. End time of the service (Check-Out)
How much will the CareBridge EVV Solution cost?

There is no charge to Provider Organizations or Caregivers for using the CareBridge EVV Solution.

For organizations using an alternate EVV vendor, CareBridge does not charge other EVV vendors to integrate with us or to send data to us. If you are using an EVV vendor other than CareBridge, you may want to check with your contracted EVV vendor to determine if they charge fees for integration.

Do I have to use EVV?

EVV is required for the following services:

Community Choices Waiver

Code Description
S5125 Personal Support Services
T1004 Home Health Aide
T1002 Skilled Nursing (RN)
T1003 Skilled Nursing (LPN)
S5150 Respite (In-Home, CNA)

Developmental Disabilities Waiver (Comp & Support)

Code Description
T1019 Personal Care
T2027 HA Child Habilitation 0-12
T2027 Child Habilitation 13-17
S5135 Companion Individual
S5135 TT Companion (Group up to 3)
T1005 Respite (Individual)
T1005 HQ Respite (Group of 2)
S5151 Respite Daily (Individual)
S5151 HQ Respite Daily (Group of 2)
T1002 Skilled Nursing
T1019 Personal Care
T2027 HA Child Habilitation 0-12
T2027 Child Habilitation 13-17
S5135 Companion Individual
S5135 TT Companion (Group up to 3)
T1005 Respite (Individual)
T1005 HQ Respite (Group of 2)
S5151 Respite Daily (Individual)
S5151 HQ Respite Daily (Group of 2)
T1002 Skilled Nursing

If your agency provides these services to Medicaid members, then you will need to use EVV. Please contact the Wyoming Department of Health if you need additional information.

Effective the hard claims denial date set by the Wyoming Department of Health; these services require EVV to document visits. Additionally, claims must be generated through the CareBridge EVV solution for the Wyoming Department of Health contracted Provider Organizations, or they will be denied.

If I already have an EVV system or am working with an EVV vendor, what should I do?

You need to make sure your EVV system or EVV vendor completes integration activities with CareBridge. Your EVV visits must be sent to the CareBridge EVV Solution for claims generation, so you do not experience a disruption in claims payments. CareBridge provides multiple ways to connect your EVV system/vendor with the CareBridge Solution. Please complete the provider organization survey at http://survey.carebridgehealth.com/wyevv and enter your EVV Vendor’s information.

To expedite the integration process, please have your EVV vendor review the integration specification at https://carebridgehealth.zendesk.com/hc/en-us/articles/360052858053-Wyoming. If they have questions, CareBridge will connect them with an integration specialist who will help ensure information is exchanged between systems.

Your vendor must be integrated with CareBridge by February 28, 2022, so claims can be successfully submitted and paid.

Will training be provided for Provider Organizations using CareBridge?

Yes, there will be many training opportunities including virtual webinars, presentation materials, hand-outs, and ongoing support for all provider agencies. All training, documentation, and resources are available 24/7 here.

Who will train caregivers on using the CareBridge EVV   solution?

Provider Organizations will train the Caregivers they employ. CareBridge provides training and materials to Provider Organization trainers who will train their Caregivers.

What if a caregiver forgets to Check-In or Check-Out of the CareBridge EVV solution?

If the caregiver forgets to Check-In or Check-Out during a visit, it can be corrected by making a Manual Entry through the CareBridge Provider Portal. Within the portal, provider organization administrators will view the scheduled visit and enter the correction. The provider will be prompted to give a reason for the correction/update.

Manual Entries should be used infrequently, so Caregivers need to remember to use the mobile app or IVR to Check-In or Check-Out.

Refer to the training material for details regarding Manual Edits.

What if a Member wants to cancel an appointment?

In instances when a Member requests a schedule be changed, a Provider Organization can reschedule and/or cancel an appointment through the CareBridge Provider Portal. Please contact your Organization as soon as possible when you know a Member needs to reschedule an appointment.

Will I still be required to complete the timesheets for Members to verify services completed at each appointment?

No. EVV will completely replace paper timesheets. You will also be able to document the care plan activities you completed during the visit right in the mobile app or through the IVR.

Do we have to collect electronic signatures after every visit? What if a member is physically unable to sign it?

Member signature is a requirement by the Wyoming Department of Health. The CareBridge mobile application allows you to collect signatures when you Check-Out of each visit. If your Member is not able to sign, you will have the option to select Member Refused or Member Unable.

Will I be required to enter a schedule into the CareBridge EVV System?

Scheduling visits in advance for your provider organization has many benefits such as increased caregiver oversight, schedule adherence, and member satisfaction. The Wyoming Department of Health is highly promotive of utilizing the CareBridge platform for advanced scheduling. CareBridge does offer ad hoc scheduling functionality, allowing a caregiver to enter into a visit at the time of service if needed.

What devices qualify for the CareBridge mobile application?

The mobile application is available to download for free and install from both the App Store and the Google Play Store. CareBridge is compatible with all smart devices, including mobile phones and tablets. Caregivers who do not have a smart device can use the Interactive Voice Response (IVR) option using the Member’s home phone.

What if there is no cellular/Wi-Fi coverage at the Member’s home?

The CareBridge EVV solution is designed to work even in areas of light cellular coverage so cellular/Wi-Fi coverage is not usually an issue. When there is no cellular/Wi-Fi coverage at a Member’s home, CareBridge’s mobile application can store and forward the Check-Ins and Check-Outs completed with the CareBridge mobile app. The mobile app will store the Check-In and Check-Out information and forward it to CareBridge when the Caregiver’s mobile phone returns to an area with cellular/Wi-Fi coverage.

How are claims paid to Provider Organizations? Can Organizations make direct deposit arrangements for payments?

Payments are processed by the Wyoming Department of Health. For any questions about payment and setting up direct deposit, please contact the Wyoming Department of Health.

Wyoming Department of Health: https://health.wyo.gov/

Provider Services: (307) 777-7531

How can Providers check the number of authorization units left in the CareBridge EVV Solution?

Authorization unit consumption is displayed within the CareBridge mobile app and Provider Portal.

EVV will NOT change the number of authorizations or how they are consumed. If you were managing authorizations effectively before, this will be a smooth transition.

CareBridge Training Module 3 – Authorizations and Scheduling will guide you through where to find authorization units information.

When a provider is missing a payment or has a short payment, how should they correct it?

Payments are processed by the Wyoming Department of Health. For any questions about payments, please contact the Wyoming Department of Health.

Wyoming Department of Health: https://health.wyo.gov/

Provider Services: (307) 777-7531