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 Agencies 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:

Description

Code Modifier

99509 HA
99509 HB

Home visit for assistance with activities of daily living

If your agency provides these services to Medicaid members, then you will need to use EVV.  Please contact Healthy Blue if you need additional information. 

Effective the hard claims denial date set by NC DHHS, these services require EVV to document visits. Additionally, claims must be generated through the CareBridge EVV solution for Healthy Blue 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 agency survey at http://survey.carebridgehealth.com/ncevv and enter your EVV Vendor’s information.

To expedite the integration process, please have your EVV vendor review the integration specification at http://evvintegration.carebridgehealth.com.  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 [October 1, 2021] so claims can be successfully submitted and paid.