Personal Care Services

 

What is EVV?

Section 12006 of the 21st Century Cures Act requires that the North Carolina Department of Health and Human Services (DHHS) begins using an Electronic Visit Verification (EVV) system for Personal Care Services (PCS) by Jan. 1, 2021 and for Home Health Care Services (HHS) by January, 2023.

EVV uses technology to record the times, dates and specific services that are given. These help make sure that people who should receive services, in fact, receive them.

For more information, visit NC DHHS.

The Electronic Visit Verification (EVV) soft launch for providers authorized to render personal care services subject to EVV through the prepaid health plan (PHP) payer type was extended through October 31, 2021.  Read the NC Medicaid Bulletin

CLAIMS PAYMENT IMPACT: All in-home personal care services claims with service date 11/01/2021 and forward must be submitted to CCH through HHAeXchange EVV system for payment otherwise payment will be denied per state mandate.

 

Do you have a member who is in need of initial PCS?

  1. The 3051 form is to be completed by member's primary care provider or attending physician. This can be found on the Manuals, Forms, and Guides page.
  2. Fax the 3051 form to Carolina Complete Health Care Management: 833-238-7689
  3. Once this form is received a face to face visit (telephonic outreach due to COVID) will be scheduled within 30 days by CCH Care Manager
  4. After assessment is completed and start of care date is determined, an authorization will be created by CCH and will be shared with the agency. This document will include purchased tasks to be completed by PCS attendant. Agencies will receive the authorization via fax and can also view on the CCH Secure Provider Portal  

HHAeXchange is the premiere Homecare Management Software company for the Medicaid LTSS population. They are the leaders in connecting payers and homecare agencies to enable more collaboration, communication, and workflow efficiencies. Through the use of the HHAeXchange portal, their goal is to make working with Carolina Complete Health easy and efficient.

How HHAeXchange Helps the PHP Meet the Cures Act Mandate​

  • Industry-leading scheduling and billing platform for back-office users and EVV confirmations​
  • Easy-to-use point-of-care visit confirmation tools for caregivers

What does the HHAeXchange Portal provide to homecare agencies?

  • Electronic case placement and authorization transfer
  • Efficient schedule and visit management
  • Free EVV solution for time & attendance and duty tracking
  • Electronic billing

General Support: NCSupport@hhaexchange.com                      

EDI Support: EDISupport@hhaexchange.com

Phone: 866-242-2465

Provider Portal Resource Page:

Training Links:

HHAeXchange North Carolina Resoures Page

Please visit our Provider Communications page for a summary of PCS provider bulletins. If you are not receiving, please subscribe.

Carolina Complete Health attested to State Plan Personal Care Services (PCS), 3L. For a complete listing of clinical policies, visit Clinical Policies

PCS Provider Training- August 13th, 2021

This recorded session provides an overview on how to request PCS services, the assessment and authorization process, working with the EVV Vendor, plus Q&A!