The Ohio Department of Medicaid will begin using an Electronic Visit Verification (EVV) system for many home and community-based services in late 2017. EVV is an electronic system that verifies when provider visits occur and documents the precise time services begin and end. It ensures that individuals receive their medically necessary services.
Services to be included in the EVV are State Plan Home Health Aide, State Plan Home Health Nursing, Private Duty Nursing (PDN), Ohio Home Care Waiver Nursing, Ohio Home Care Waiver Personal Care Aide, Home Care Attendant, and RN Assessment.
Please click here to learn what EVV means for agency and non-agency providers, as well as for more and ongoing information about Ohio’s future EVV system.
Click here for the link.
Current providers must revalidate their Medicaid provider agreements by the revalidation due date to maintain an active provider agreement.
For more information visit the ODM ORP Web page here.
Beginning February 1, 2015 and ending no later than June 30, 2015; Individuals enrolled on the Transitions Carve Out Waiver will be moving over to the Passport/Choices waivers. Providers who serve these individuals will need go through the Ohio Department of Aging (ODA) certification process. Please go to the following website with questions about ODA certification: http://www.aging.ohio.gov/resources/providerinformation
Additional information and answers related to the Transitions Carve Out Waiver changes, click here.
Public Consulting Group, on behalf of the Ohio Department of Medicaid, will be conducting (4) trainings around the State:
*Registration is required. See below for details:
Location: Cuyahoga County Maple Heights Public Library
Room: Auditorium (Room A)
Location: Akron-Summit County Public Library- Main Branch
Location: Columbus Public Library (Main Branch)
Location: Cincinnati and Hamilton County Public Library
Room: Huenefeld Town Room
Presenters will be staying after the training to answer specific provider questions. For questions, please call 1-877-908-1746.
**Continuing Education Credits Offered
PCG is an approved provider for Social Work CE credit by the State of Ohio Counselor, Social Worker, and Marriage and Family Therapist Board. Provider #RSX071403. The Ohio Board of Nursing recognizes the State of Ohio CSWMFT Board as an approved provider of CNE for multi-disciplinary activities. Attendees must sign in on time and remain for the entire session to receive a certificate of attendance. This program is approved for 2 CEs per the CSWMFT Board.
This notice is to inform all providers of services to individuals on an Ohio Department of Medicaid (ODM) home and community-based services waiver of mandatory training on incident management. An "incident" is an alleged, suspected or actual event that is not consistent with the routine care of, and/or service delivery to, an individual enrolled on an ODM waiver.
To complete this requirement, providers have the option to view the training at: http://ohiohcbs.pcgus.com/TrainingMaterials. Agencies also may choose to train their employees in a different manner. Regardless of how providers complete this training, they must document in writing that they have reviewed the rule.
In addition, upon entering into a Medicaid provider agreement, and annually thereafter, all providers must acknowledge in writing they have reviewed Ohio Administrative Code Rule 5160-45-05 Ohio department of Medicaid (ODM)-administered waiver program: incident management system, which can be found at http://codes.ohio.gov/oac/5160-45-05
Questions may be directed to ODM's contracted Provider Oversight Contractor, Public Consulting Group (PCG) at 1-877-908-1746
Public Consulting Group (PCG) and its PCG Health division have partnered with the Ohio Department of Medicaid (ODM) to provide Provider Oversight and Incident Management for its Home and Community-Based Services Waiver programs, the Ohio Home Care Waiver. PCG enrolls waiver providers, conducts provider oversight as well as incident investigations in coordination with providers, case management agencies, local agencies, and the many state sister agencies of ODM.
For more information about Public Consulting Group and how we can assist you in delivering or receiving Home and Community Based Waiver Services, please contact us at the following:
Public Consulting Group
Ohio HCBS Waivers
155 East Broad Street 8th Floor Columbus, OH 43215